Looking for military wives.

usmcwife414
on 9/1/11 3:13 am - Jacksonville, NC
Hey everyone. I was looking to talk with other military wives. Or just some advice from some of you. I have Tricare. Today I went to my orientation meeting and I was told that since I had to lose right at 100lbs I am borderline for whether or not they would approve me. I'm scared now to go through all of this just to be told that it wasn't approved. Has anyone else had 100lbs and been approved? I'm really nervous about it now. I thought I would leave the meeting feeling confident and now I don't know what to do. I appreciate any and all advice. Thanks in advance.
shoutjoy
on 9/1/11 10:08 pm - Culpeper, VA
Hi,

I don't have Tricare but I know I was borderline and was approved.  I think they base it on BMI too.  So the insurance doesn't cover bypass surgery of any kind? Or was this your doctor that said this?

Clueless about weight loss and weight loss surgery of any kind.

    

        
Proudtobaloser
on 9/2/11 10:51 pm - Fayetteville, NC
In case you didn't know they go based on STARTING weight. Not the weight you are right before surgery so you should be fine. Here are the requirements.

TRICARE covers gastric bypass, gastric stapling and gastroplasty to include vertical banded gastroplasty and laparoscopic adjustable gastric banding (Lap-Band surgery) is covered only when the beneficiary meets one of the following conditions:

  • Is 100 pounds over ideal weight for height and bone structure and has one of these associated conditions: diabetes mellitus, hypertension, cholecystitis, narcolepsy, Pickwickian syndrome, hypothalamic disorders or severe arthritis of the weight-bearing joints
  • Is 200 percent or more over ideal weight for height and bone structure
  • Has had intestinal bypass or other surgery for obesity and because of complications, requires another surgery (takedown)

So please do not sweat it. I am on Tricare Prime and had NO issues whatsoever.
        
As a single person we make but a whisper, as a crowd we make a roar. A friend.
"I never claimed to be an expert at such matters, but I am an expert at giving my opinion."- My dad
        
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