Recent Posts
Topic: RE: Is this too good to be true!?!?!
OMG Erica thats AWESOME! I bet you are feeling Great!!! I have 12 Days left till Surgery... OMG I just now realized how little time that Is... LOL.
I'm so happy you are doing good!!!
Krissy
Topic: RE: Denied by Tricare Prime
That's so strange that Tricare would deny you when you seem like a good canidate. I was approved before I had my Psych Eval done, before I had my sleep apnea testing done, before I had anything really, and they approved it in about 2 or so hours.
Your Heavy and Painful Menses could also be because of PCOS... have you had that checked into? That would also help to get approved.
Good luck to you, i hope you get approved.
Krissy
Topic: RE: Denied by Tricare Prime
I am not close to 200%. Im 100lbs over my ideal body weight, I have severe sleep apnea. Need a CPAP machine. I have a lot of small problems like bladder problems, irritable bowel syndrome, Severe back pain everyday, moderate knee pain on occasion (when climbing stairs, walking or running), heavy and very painful menstrus, lack of energy, I think I have GERD. I know I have severe heartburn alot. Depression and super low self esteem. Im tired all the time which is probably from the sleep apnea. But tricare doesnt seem to care anymore about the small stuff.
They recently have been denying people left and right. I did my sleep study and we are appealing so maybe they will approve me. My PCP says he will give me my referral over and over if needed. And he says "if theres a will, theres a way and Ill find a way to get you approved" He said we will just keep digging until Tricare approves me. He was really mad I got denied because he doesnt want to see me have surgery on my back as he thinks surgery will make my back feel worse. So at least I have him, Liv Lite, and the surgeon, Dr Narscisso on my side. They are all wonderful and are fighting my battle for me for the most part. They point me in the right direction and I do what they say. Hopefully I will get approved after I appeal. Im keeping my fingers crossed.
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Topic: RE: Denied by Tricare Prime
I just recently got denied becasue I didnt have any problems, but was approved because I was 200% of my ideal weight when I appealed. Are you close to the 200% mark? If not, what kind of problems do you have?
Topic: Denied by Tricare Prime
i was denied by Tricare because I didnt have any of the majors IE: high Blood Pressure, diabetes, narcolepsy, hypertension, or severe breathing problems. After being denied my PCP was really mad and sent me for a sleep study for sleep apnea. We are all hoping it will be approved. Has anyone ever had this happen? Did you get approved because of sleep apnea? Just trying to figure what my chances of approval are.
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Topic: RE: One more step
That is exciting, but I undertand the jitters...I am starting to feel that way knowing that I will be having surgery within the next month or so. It's like a weird crazy/excited feeling, and to me it seems like time is dragging on, yet going fast at the same time....that's weird I know. I don't know how else to explain it.
lol I'm happy for you. Keep us posted on how everyhting goes!
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Topic: RE: Appointment today.
I was just curious....do you mean 100 pounds overweight, or 100% over your ideal weight...which would make you double what your ideal weight is? The reason I'm asking is becasue I know if you are double what you should weigh, you should be able to get approved with no problem, but if you are 100 pounds overweight then I don't know how they look at the comorbidities. I will keep you in my prayers, I wish you the best. I know it is so frustrating, but hang in there. People who give up never get what they want.
Topic: One more step
I have an appt for a psych eval next week. They said I qualify for surgery. This could happen soon. I could be in for surgery within the month. Now I am jittery. Diana
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Topic: RE: Is this too good to be true!?!?!
Yes, my date is July 24. I still have to meet with the nutrionist. Was the first week clear liquids only or any liquids?
Leann
Topic: RE: Appointment today.
I will be thinking of you and hoping everything goes through for you. Please update us with any new info you may have.