Letter from Tricare

kesa85
on 12/27/11 9:45 am - LA
RNY on 07/31/12
I got today the denied letter from Tricare finally !! I did send my letter for reconsideration  2 weeks ago  and I am glad I did :-) Just as i aspected Tricare denied me beause they think PCOS its not  a high risk co-mo. and thats what I wrote in my reconsideration letter with a lots of help from here. I havent heard anything  back yet  but they say it can take up to 30 days.Just wanna give you guys a update :-) I so hope they approve me this time , finger crossed :-)
MajorMom
on 12/27/11 6:06 pm - VA
Keeping my fingers crossed too. Dang, I hope they decide in your favor.

--gina

5'1" -- HW 195/SW 187/GW 115 July 08/CW 121 Dec 2012
                                 ******GOAL*******

Starting BMI between 35 and 40ish? 
Join us on the
Lightweights Board!
DS on Aug 9, 2007 with Dr. Hazem Elariny

Price S.
on 12/27/11 7:43 pm - Mills River, NC
I'm swinging for you. 

    LW-Apple-Gold-Small.jpg image by PlicketyCat  66 yrs young, 4'11"  hw  220, goal 120 met at 12 months, cw 129 learning Maintainance

Between 35-40 BMI? join us on the Lightweight board.  the Lightweight Board
      
 

lerkhart
on 12/27/11 11:00 pm
 I hope they reconsider.  Have you had a sleep study or been checked for high cholesterol.
Good luck.
Linda
14.5 lost pre-surgery  5'1 1/2"                                      LW-Apple-Gold-Small.jpg image by PlicketyCat
kesa85
on 12/28/11 3:02 am - LA
RNY on 07/31/12
No i havent been tested for those but if Tricare decides to denie me again I will talk to my doctor about that :-)
glzgowlass
on 12/28/11 8:56 am - VA
RNY on 09/14/11 with
I have tricare prime also.  Your doctor should have tested you for co-morbidities such as sleep apnea, high cholesterol, diabetes etc before the paperwork was turned in.  Because your BMI is less than 40 you will need two co-morbidites to qualify. 

I used to have their policy requirements bookmarked but I don't think I have it anymore.  I'm pretty sure PCOS isn't considered a co-morbidity.  I'll have a look for it and post it for you if I find it.

HW: 218, SW: 204, CW: 139 GW: 112-119
             

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