tri care and wls
I had to use civilian insurance to cover mine since I had chosen the duodenal switch, which Tricare doesn't cover. My understanding is that they are pretty backwards as far as qualifying with "more than 100 pounds to lose". In my case I was 36.8 BMI but didn't have 100 pounds to lose. I hope they have updated their qualifiers and maybe even the surgeries they cover. The last I heard they covered the bypass, sleeve and band. Good luck and keep us posted.
--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
I thought Stacey had hers covered by Tricare. Perhaps she should put this question on the FB WLS Lightweights page?
HW-218/SW-208/CW-126/ Lowest Weight-121/Goal-125 - hit 8/23/09/Height-5'3"
Regain 30 lbs from 2012 to 2016 - got back on track and lost it. Took 8 months.
90+/- pounds lost BMI - 24 or so
Starting BMI between 35 and 40ish?
Join us on the Lightweights Board!
I had my surgery on January 28th and it was covered by Tricare. I was 215 at my 1st doctor appt., with a BMI of 38, I am 5' 3", I was approved within one week of submission. I did have several morbidity, pre-diabetic, high blood pressure, asthma, high cholesterol.
Hope this helps, my goal weight is around 140 so I did not have 100 lbs to lose. I am currently 182!! I am so happy I had gastric bypass. Tricare does not cover any other WLS
Yep just had mine done under tri care also early this mth. Heres a link to what qualifies: http://www.tricare.mil/CoveredServices/IsItCovered/Bariatric Surgery.aspx?p=1
but basically no active duty. 40% BMI & above or 35% BMI with a comorbidity should qualify.
Good luck!
I had consult 2 weeks ago and he said Tricare is actually on of the easier insurance companies to approve. I just have not decided if I want to do it yet. UGH
I have also had 2 people tell me that there will be some changes with Tricare in there new year (Oct). It could be good or not good. They could make it harder to get approved. Or not.....they could include sleeve.