5 Year Weight Loss History
I have a question for anyone who had to submit a 5 year weight loss history. I have been seeing my current doctor for 4 years and he has been documenting my weight history since then. He submitted my 4 year weight loss history to the surgeons office yesterday. My question is do you think tricare will deny me because of the 4 year weight loss history? I have kept up with my weight loss (and gain) since 2001. I gave my doctor that. He faxed it along with his record. I am just a little worried about that. If you know, please let me know.
Tricare doesn't require a 5 year weight loss history. The only requirements from Tricare is the psych eval and the weight requirements. (I actually gained almost 20lbs from 5 years ago and was approved pretty quickly.) I know most surgeon's request/submit the 5 year history of weight (don't have to be at a loss necessarily) because a lot of insurances do require it, but Tricare isn't one of them. It is just your surgeon's requirements, not Tricare's.
HTH,
Andi
jennadweeb
on 8/23/07 3:04 pm
on 8/23/07 3:04 pm
you know i just went to the dr last friday to talk about gastric bypass, they said i fit as a canidate, and told me to go home and write down all the diets, weight gain, medication i am on, problems with myself..bascially telling them how fat i am and need the surgery. my dr said although tricare doesnt require this, it helps to get an approval on the first, verces being denied then having to go through an appeal process and your going to need all that info anyways, so just your dr as much as you can, to help push the approval in.
All Tricare wanted for me was my weight, height, BMI and the Psych eval. If you are 100 lbs over your ideal and have a BMI over 40, that's all they require. The problem comes if you aren't 100 lbs over or your BMI is less than 40. Comorbidities help. Anything else is your drs requirements. My Dr's staff said Tricare is one of the easiest and fastest to get approval as of now. I did fill out a form about all the diets I have been on and what I have tried to do to lose weight over the years, listed my meds and medical problems. He also wanted my heart and lung testing. but Tricare didn't. They did want the arthritis, asthma and murmur diagnosis. Those helped as comorbidities.
I didn't need a sleep study at all or an endoscopy. Those is for your drs information.
Try not to worry. Easy for me to say I know, but try anyway. Take a long bubble bath and try to relax. Diana