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Insurance Discuss insurance topics for the gastric bypass and Lap Band® operations.

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Old 09-21-2009, 07:48 AM   #1 (permalink)
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Default Tricare

Does anyone on here have prime and gone thru plastic surgery?
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Old 09-21-2009, 07:56 AM   #2 (permalink)
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I have prime but, have not had PS yet. I do know they will cover with medical necessity. My PCM has already started documenting the skin breakdown for me.
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Old 09-21-2009, 10:01 AM   #3 (permalink)
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I do know they will cover it...one of the children in my class, her mom had it done after her gastric bypass. She told me you have to maintain your goal weight for six months. But that was all the information she gave me.
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Old 09-21-2009, 10:20 AM   #4 (permalink)
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Location: Wichita Falls, TX
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I have Prime and I know the cover at the very least the tummy tuck. Shetaz, any ideas on if they will cover anything else?
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Old 09-21-2009, 10:39 AM   #5 (permalink)
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Quote:
Originally Posted by AirForceW1fe View Post
I have Prime and I know the cover at the very least the tummy tuck. Shetaz, any ideas on if they will cover anything else?
Depending on the day and time I call I get different answers. I figure I'll document everything and see what they say when the time comes. I have also been told it depends on what region you are in. You know how Tricare can be at times.
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Old 09-21-2009, 11:34 AM   #6 (permalink)
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Join Date: Sep 2009
Location: Highland Park, Il
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Start Weight: 237
Current Weight: 188
Goal Weight: 140
Surgery Date: 07/14/2009
Age: 29
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Im in Il and i know they wont do it here. My friend tried for a TT and they denied her. She had to pay out of pocket. I heard the east and west does it. By the time i leave here we will be in a region that will work with me but i just wanted to make sure.
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