Hello! My husband I are are both in the works for RNY through Tricare prime and were denied today. We started the process this past summer, were just about through with all of the other requirements, but Tricare decided on Jan 1 to require a 6 month doctor supervised diet and exercise program, thus the basis of the denial. This is the only thing holding us up. We want to appeal on the process that we meet all other requirements, over the BMI with comorbids, medical necessity, etc. Denying it this late in the game is unfair, as we would have been doing the Dr supervised stuff had we known about it. By going through it now, we would have to REPEAT all of the other stuff as it's only good for a year and we'd be past that, causing tricare to pay out for the services again. 
Anyway, has anyone else dealt with this, win and if so what did you write to tricare that was successful? 

Thanks for your help!!