Okay, me again I was denied, any luck with the appeals thru Tricare Prime

I finally got my dreaded letter that I was deined. I was only 90% (needless to say my BMI was 39)but i was not 100lb overweight. Needless to say I have gained 11lbs. Which puts me at 101lb overweight. So hopefully now i will be approved. But Some of the comorbities Tricare Prime wants you to have is Diabetes (which i did blood work for hasn't came back yet). High Blood pressure which mine is mild. I do have bad knees and back and heel spurs, but tricare wants it stated arthritis. I have been waiting so long for this surgery over a year now, so I have a new comorbity DEPRESSION. I have a family history of stroke diabetes highblood pressure morbid obesity, but I think when I did not meet the critera they just added more to the approval process for me. Well anyways my Dr. had wanted me to keep a record of my blood pressure, and weight so they can resubmit my paperwork. I just wanted to know if anyone had to go thru the appeals process and won? Anxiously waiting.

We greatly appreciate your interest in helping us build our Q&A database. To discourage vandals from posting garbage, however, we require people to register before posting.

You must be logged in to post an answer. Click here to log in.