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Question about tricare approval

So I already have my referral from my PCM and I am supposed to go see the surgeon on 12/3/08. I am a little scared cause I am at the borderline mark and I am scared Tricare won't approve. I am 5'2 small frame and weigh 194 and I have PCOS. Does anyone know if tri-care considers PSOC a co-morbid? (I think that is what they call it) Also, what do you think the chances are that tricare will approve my lap-band. Any helpful information that anyone has regarding having this surgery through tricare at a military hospital would be much appreciated. We are stationed at Ft. Lewis and I will be having the surgery at Madigan if Tricare approves it.

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They go by the met life weight chart and use medium frame. If you are under they will deny.I was there and had to gain the weight to be appoved.

I have PCOS and really nothing else so I think they do consider it a co-morbidity. As far as approval, I think it just depends on who gets your paperwork to review. I was worried but I did get approved. Good luck!

  • 3 weeks later...

HI i was wondering if you got your surgery brittney?

im in the same boat i went yesterday and dr says yes shr reconmends it but my bmi is 37 my height is 5'4 and think my weight was 210 my blood pressure was high that day she wants to do my blood work and the only way tri care will approve me is if for some reason the blood work comes back crappy? my blood has always been normal sugar levels etc... im on edge now cos im not sure that this surgey is going to happen i was told the bmi had to be 40 does anyone have any input on this? any info will be great

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