Tricare Question??

I went to a seminar lastnight and was talking to the lady who files all your paperwork w/ your insurance company. I told her that my BMI was 40.1 and she said that she thinks that I might have a hard time w/ the insurance company. But then she said that if I could show that I have consistantly gained weight and none of my gain is from a pregnancy and that I have family history that I might have a chance. Anyone know anything about Tricare or have any words of wisdom? I have already looked up Tricares requirements and even called to make sure that they told me the same thing on the phone that I found on the internet so I know what the requirements are. Just wondering what everyone else thinks.

I found tricare to be very straight forward.  I met the requirements and was approved within 1 week of have my paperwork turned in. To be honest, I found the more challenging part was getting a referral.  My first Dr wanted me to try to diet for 3 months.  After the second month she left.  I was frustrated and didn't go back.  I talked to another dr who hated fat people and told me it was something that I had to fix by not being lazy.  But the next dr put in the referral and from there it just flew by!!

I already have my referral from my PCM I have my letter where Tricare approved for me to see the surgeon, I'm just worried about not meeting the requirements. The lady who sends everything to insurance said that I needed to weight 260.

Do you have any co-morbs?  If so, you shouldn't have any problems being approved.  I didn't have any co-morbs, but Tricare approved me based on chronic pain in my weight bearing joints...it had never been documented.  Tricare asked my surgeon's nurse to call me and ask if I have pain in my weight bearing joints, I said yes and Tricare immediately approved me...otherwise, they would have denied me.  Just make sure you tell them about any complications you have due to excess weight...shortness in breath, stress incontinence, pain in knees, hips, ankles, etc... Good luck to ya! By the way, Tricare doesn't give a flip how you gained your weight.  Whether you gained it through pregnancy or if you have a family history of obesity doesn't mean anything to them, they simply want medical facts.  That might work with other insurances, but not Tricare.