I want the sleeve not RNY

So, I go for my consult on Tuesday and I want the sleeve.  BUT, my friend (she had RNY) saw the doc yesterday and told him about me and he said he is having a hard time getting Tricare to pay for the sleeve.  They will only pay if there are reasons for you to not have the RNY.  What are some reasons to not have the one over the other? I know my reasons but what are the insurance reasons?

Also, would you get the RNY if that's the only one insurance would pay for? I need to lose 60-70 pounds. And wonder if RNY is too much for that amount of weight. 

If RNY was the only WLS my insurance would have covered, I probably would have figured out how to self-pay.  Or changed insurance.  

I wouldn't borrow trouble about this until you actually get a response from insurance/your doctor.  You might find out that you have issues that require you to get the RNY and then the worry would have been for nothing.  

Are you able to call Tricare yourself and find out what they cover and what their requirements for the surgeries are?

What would be a reason why you have to get RNY and not the sleeve?  Just curious...

GERD, Barrets esophagus. Those are the two that immediately come to mind. 

Well, I do have something going on. Not sure if its GERD or not.  I have been on nexium for probably 10 years for heartburn. I don't very often actually have the acid come up.  Mostly just the burning in my stomach and heartburn.

Also what is your BMI. Most insurances require a BMI of 35 with comorbidities and 40 without. Saying you have to lose 60 to 70 makes me wonder what your BMI is. That will play a factor in the insurance as well. That added if you have certain meds that have absorption issues and would not be effective with the RNY that could be a reason. The person with the medical degree though will be able to come up with much better reasons.

My BMI is right at 35 maybe 34 depending on what they measure my height at.  I weight 187 now.  I'm about 5'2".  I do have high blood pressure.  Been on meds for years. I'm 45

You would need at least a BMI of 35 with the high blood pressure. I would call your insurance and double check.