TRICARE...HOW DO I GET EXCEPTED FOR LAP RNY?

I HAVE TRICARE PRIME REMOTE INSURANCE AND AT THE BEGINNING OF THIS YEAR THEY CHANGED MY PCM TO A DOCTOR WHO KNOWS NOTHING ABOUT ME. I WAS JUST LOOKING AT TRICARE'S WEBSITE AND IT SAYS IT DOES NOT COVER LAPAROSCOPIC ROUX-EN-Y ONLY OPEN. SO MY TWO QUESTIONS ARE, HAS ANYONE HAD LAP RNY WITH TRICARE PRIME REMOTE? AND... HOW CAN I GET A REFERAL FROM A PHYSICIAN WHO DOESN'T KNOW ME? I CURRENTLY WEIGH 250# AND I AM 5' 7". I HAVE HIGH CHOLESTEROL. MY BLOOD PRESSURE IS SLIGHLTY ELEVATED AND I HAVE LOTS OF KNEE PAINS BUT NEVER DIAGNOSED WITH ANYTHING MAJOR. I WANT THIS SURGERY BADLY AND I NEED ADVICE. THANKS!!

Hey girl, I sent you an email! Your sister must be doing great! Pat