Question:
Tricare and plastic surgery!
I am looking for some peers that may have Tricare Standard or Prime, has had gastric bypass and got approved for Plastic Surgery. I am almost 3 years post op. Started at 270 and now I am down to 130 pounds. I feel wonderful, but would love to get some things put back. Any input is greatly appreciated. Thanks, Crystal — lippyblonde2000 (posted on March 2, 2006)
March 2, 2006
I haven't has my wls yet, but I do have Tricare Prime. I have heard that
sometimes your insurance will pay for plastic surgery if it is described as
"reconstructive surgery"...If I were you, I would talk with a
local plastic surgeon for an opinion. If you have problems with yeast
infections in folds of skin or lesions, you might qualify for plastic
surgery. Good luck.
— Bartlettcowgirl
March 2, 2006
Hi Crystal, I have ChampVa which is another military insurance, and they
paid for my gastric bypass, tummy tuck and breast reduction. They are a
little different but are military. You will need to get doctors
documentation for reconstructive surgery. Hope this helps. Email me if
you need to ask questions. Take care Tina
— tchandler
March 2, 2006
Hi,
I have Tri care Standard. My ps put in for a panniculectomy and a medial
thight lift. The panni was approved, not the thighs. It only took a short
time for approval. I have found they are wonderful to work with. The ps
did all the paper work. I never had to have any documentation from my pc
about any rashes or back problems or anything at all. Lot of folks need
that, but for some reason I didn't and mine went right through.
— Patwa
March 2, 2006
I too have Tricare Prime. They paid 100% for my open rny and 100% of my
tt/hernia repair. I didn't have to have any documentation. The ps that I
was refered to did all of the paperwork and all I had to do was wait for
the word. A girl I know that has a different ps was put in for a thigh lift
also and was approved. I guess it depends on the severity .....who
knows.lol I have also heard of women getting breast lifts approved. I wish
you luck...I am close to 2yrs p/o and need more stuff done but I will have
to wait for a silver lining to show up in my pockets...:-) I am 5'3 and
started at 265 and I am now 140. Email me if you would like to ask me any
other questions or see before and after pics. [email protected]
Julie
— J. Stinard
March 3, 2006
Thank you for asking that question, Crystal. I am scheduled for wls in 11
days, and have already been hopefully looking towards the future when I may
need to know the same information since I have TriCare Prime Remote
insurance. Good Luck! Deb
— Debb
March 3, 2006
I have Tricare Prime and they were awesome about the WLS but I just got
denied for my TT this week. I have lost over 130 lbs and several letters
from doctors and surgeons about why I needed it and also documentation of
several skin rashes and Tricare said that they will not approve a TT just
for hyigene reasons! I have less than a year left here and 2 more semesters
of school, so I think I will wait until we get to out new duty station and
try again. Good luck to you.
— KittyKatt
March 28, 2006
Hey, I just got approved for a tummy tuck but denied a breast lift. I
weighed 280 before surgery and I am down to 140. I've heard to just appeal
appeal appeal.
— JB
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