This is cut and pasted from the Tricare Prime Handbook.
Gastric bypass, gastric stapling, or gastroplasty—to include vertical banded
gastroplasty—is covered when one of the following conditions is met:
1. The patient is 100 pounds over the ideal weight for height and bone structure and
has one of these associated medical conditions: diabetes mellitus, hypertension,
cholecystitis, narcolepsy, Pickwickian syndrome (and other severe respiratory
diseases), hypothalamic disorders, and severe arthritis of the weightbearing joints.
2. The patient is 200 percent or more of the ideal weight for height and bone
structure. An associated medical condition is not required for this category.
3. The patient has had an intestinal bypass or other surgery for obesity and, because
of complications, requires a second surgery (a takedown).
__________________
Nov 21st, introduction meeting
Dec 17th, 1st visit with surgeon
Dec 30th, Physical with OB/GYN, Labs done
Feb 3rd, Insurance approved RNY
Mar 5th, PreOp appointment
Mar 10th Surgery date
June 9th onederland
July 29th no longer obese, only overweight
Nov 13th no longer overweight, I have a normal BMI
249/236/154/149
Start/date of surgery/current/goal
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