As far as I know, tricare will cover the panni portion if your ps demonstrates a need due to rashes, back problems, etc. I have heard they will upgrade to the full TT if you have a hernia that needs repaired.
I get my medical care at a military hospital, and it was absolutely no problem to get a TT, despite the fact that I would never have met tricares requirements. If you can get your WLS to refer to the plastic surgeon at an mtf it is the plastic surgeons discretion to decide if you need the surgery. If you live near an mtf I would recommend at least trying!
I love my plastic surgeon at west point, he has been awesome, and my TT results are great- I am four weeks post op.
I am still loving life with my sleeve! Been maintaining at or below goal for over 4 years!
"People spend a lifetime searching for happiness; looking for peace. They chase idle dreams, addictions, religions, even other people, hoping to fill the emptiness that plagues them. The irony is the only place they ever needed to search was within." - Ramona L. Anderson