Question:
Hints on getting approved

I was wondering if anyone could give me some hints on how to get Tricare to approve this surgery.    — Nicole S. (posted on March 30, 1999)

April 16, 1999
I have tricare my husband is military I had the RNY done. But a military captain did it at the military instulation. He was trained to do this procedure and now thats all he does. Are you military. e-mail me if any questions.
   — penny S.

September 3, 1999
tricare is excellent to have if you want bariatric surgery. I was approved by them in 2 days. I have no comorbidities, did not have to have psych eval., did not have to prove past dieting history, nothing! I am 285#'s and that was all they really needed. My PCP put in the consult request, tricare set me up with a surgeon, had appointment with him, he sent request for preauthorization to tricare and it was approved 2 days after they received it. Good luck.
   — Cheryl W.

January 23, 2004
I was just denied by TriCare! The letter states that the denial was because "reliable evidence demonstrates that further studies or clinical trials are necessary to determine its saftey and efficacy as compared with standard means of treatment". Now, how do you go about appealing THAT?
   — Katrina D.