Jacksonville Florida here

Hello, I am new here. Anyone in the Jacksonville area that had a hard time with Tricare Prime? How did it go?

Im not in Jax but in Kingsland just north. I am over 5 yrs post op and doing great. I had no problems at all with tricare. As long as you meet their criteria you will get approved (unless things have changed) You have to be 100lbs overweight or 80 lbs with comorbs.. at least that it how it was 5 yrs ago

Hi Catherine,

Tricare has denied me twice now.  I called them and they told me to go to my PCM about my joint pain and if I get medication I will be approved but my PCM didn't give me anything and I am still in pain even if I take 800mg of Motrin.  Are they just being stubborn?  Since my last denial I have been gaining weight like crazy but not on purpose.  I am losing my patience with Tricare.  Any advice?

First off I have to say what a small world. I just left Jacksonville FL I worked there now I am at FT Campbell waiting for my husband to come back from his 15 month deployment. My parents just sold their house in Green Cove, now they live off Argyle.

Any way back to your question:

You need to ensure you go through all the test and make sure your proper hieght and weight are taken are you at the Hospital on base or out in town? If you are on base it should go through with no issue but the civilian hospitals seem to have issues with filing out the paper work correctly get copies and call tri care and find out why it was denied it could be something as small as a incomplete request.

This is your journey get it out of their hands and you take control.

Joint pain is not enough to get you approved. Check the Tri care hand book its 100 LBS or 40+% BMI or Sleep Apnea or Diabeties pre or post doesnt matter. Like I said tell your PCM to get  all the test.

If this is posted too late sorry but if you are still trying get on them they will eventually approve it.