Does Tricare Cover Weight Loss Surgery

Does Tricare Weight Loss Surgery What Requirements Of Its?

Tricare covers weight reduction surgery. To qualify for insurance of weight reduction surgery, your coverage needs to consist of insurance and also you need to meet the qualifications. To discover in case your coverage consists of insurance, please speak immediately to Tricare.

Assuming you’re covered, Tricare has an unmarried coverage that units the standards for all the Tricare areas for weight reduction surgery. The necessities are below.

Tricare Pre-Approval Requirements

Tricare covers weight loss surgical treatment while the subsequent necessities are met:

  1. You are at least 18 years of age and you’ve finished bone growth.
  2. You had been unsuccessful with non-surgical clinical remedies for obesity.
  3. You need to have the ability to expose which you attempted and failed packages together with Jenny Craig. This has to encompass normal docs visits or different documentation of this system and weigh-ins.
  4. Weight loss medicine by myself does now no longer qualify as a weight reduction program.
  5. Your Body Mass Index (BMI) is more than forty or:
  6. Your BMI is among 35 and 39.9 and you’ve at the least one co-morbidity
  7. These can encompass diabetes, hypertension, obstructive sleep apnea, cardiovascular sickness, and/or pulmonary hypertension.

Procedures Covered With The Aid Of Using Tricare

  • Gastric Bypass Surgery
  • Lap Band Surgery (inclusive of the Realize Band)
  • Vertical Banded Gastroplasty
  • Sleeve gastrectomy
  • Gastroplasty

Tricare does now no longer cowl the subsequent methods:

  • Biliopancreatic bypass
  • Gastric wrapping or open gastric banding.
  • Any experimental manner together with gastric bubble or balloons.

Note: Tricare does now no longer cowl health practitioner workplace visits for the remedy of obesity. Tricare additionally does now no longer cowl non-surgical methods for weight reduction. It does now no longer cowl health clubnasium memberships, or weight reduction packages together with Jenny Craig or Weight Watchers. Diet and nutrients counseling isn’t always protected with the aid of using Tricare.

Where Do I Need To Have Surgery?

As with maximum methods, you’ll be required to have surgical treatment at an authorized VA facility or different community vendors withinside the TRICARE vicinity wherein you’re enrolled.

Note About Bariatric Surgery For Military Personnel

Health Affairs Policy 07-006 states that “Bariatric surgical treatment represents a prime and everlasting extrade for your digestive gadget that calls for strict adherence to a particular nutritional routine which can intervene with operational deployment. A record of bariatric surgical treatment is already a bar to army provider and receiving bariatric surgical treatment even as on lively responsibility can be grounds for separation.”

What About Cosmetic Surgery To Remove Excess Skin After Weight Loss Surgery?

After you’ve had weight reduction surgical treatment and the misplaced weight you can have extra pores and skin. Surgery to have extra pores and skin eliminated after weight reduction surgical treatment can be protected if it’s far a clinical necessity. If you’ve got huge folds of pores and skin that come to be infected, angry, or in any other case motive fitness troubles that your medical doctor treats, then beauty (plastic) surgical treatment is generally protected with the aid of using Tricare to put off extra pores and skin. However, if the elimination of extra pores and skin is purely for beauty reasons, then Tricare will now no longer cowl the manner.

Updated: September 14, 2021 — 6:17 pm

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