Question:
Tricare denied revision, what can I do?

Has anyone had any luck getting Tricare Prime to reverse their denial ? I need help on what to put in my appeal letter. Any help will be appreciated.    — MarjN (posted on November 14, 2007)


November 14, 2007
Hello, I did not have Tricare Prime, but I did get deniad 3 times. When I did my appeal I went to my Doctor that I see once a week or at least once a month. Primary Doctor and got 1 year of records stuff like vitals, chart notes, meds that Ive taken for the last year. I also sent everything I did with the surgen, chart notes,vitals,weight after doing this I got an YES 15 days letter. It gave them a years of my weight meds I have tryed. So maybe if you get all ur records you may get a yes. Just don't give up. Take care and I hope I helped
   — aluvzu2

November 14, 2007
I didn't have that insurance, I had PEIA school insurance, I gave up on them and flew to Mexico, here is the web site, check it out, they are wonderful there , this is good for anyone have problems getting money, much more expensive in the states than Mexico.. Good luck to all.
   — Reelbaby

November 14, 2007
I got denied (but not with Tricare) and my doc took care of all my denials and appeals. YOu should go to your doc for this (this was my pcp).
   — [Deactivated Member]

November 16, 2007
I have tricare and took 20 months to get approved. Your surgeons office should find out why it got denied. Mine got denied because I had to have more tests and procedures done. You have to stay on them weekly to get this done. They will pay for it, but you have to jump through hoops and do everything they tell you. Start with the surgeons office to find out why it is denied.
   — gedgette




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