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thank you in advance
catherine
Well my BMI is 62 and i am 5'3 and i weighed at the time of my first appointment with the surgeon 350. If you have no comorbities you have to be 200% over your ideal body weight which i do meet. I have since talked to others that have tri care prime north and they have had no issues so i can help for the best :) thanks for your response. I have my second appointment with the surgeon tomorrow. I have done the checklist that my surgeon has provided and tomorrow we should be scheduling my surgery date. Good luck with your denial :)
Jess
Do you think I have a shot of getting approved? I'm worried because BCBS of IL will be changing their requirements from a 3 month diet to a 6 months diet on March 15, 2011 - and I will be submitting to insurance on March 10th (talk about cutting it close!!!)
I'm a 5'9", 33 year old mother of 2 living in Sunny San Diego
Starting Weight: 273 Surgery Weight: 235 Goal Weight: 140 Surgery Date: 08/08/11
This is what I have learned using Tricare and getting denied:
You have to have a high BMI
You have to have at least 1 comorbidity
You have to be at least 100 pounds overweight (using the metropolitan life weight chart)
I'm 4'11" with a BMI of 42.6, weigh 212, have sleep apenea and pre-diabeties and was denied. I'm going to try to appeal but they don't make it easy.
WE ARE ALL IN THIS TOGETHER! LET'S GET HEALTHY! 
STARTING WEIGHT 211.8, SURGERY 23 MAR 11; ONEDERLAND 30 MAR 11 199.2 
WE ARE ALL IN THIS TOGETHER! LET'S GET HEALTHY! STARTING WEIGHT 211.8, SURGERY 23 MAR 11; ONEDERLAND 30 MAR 11 199.2
Nan
HW 300 / SW 280 / CW 138 / GW 140
Hit Goal 4/2/2010
Hockeymom87 · 0 replies · 893 views
