Question:
Appeal Letters to TriCare Prime.

I am looking for examples of Appeal Letters that worked to TriCare Prime and possibly for the listed reconstructive surgeries, 1) Mammoplasty Augmentation (W/implants), Mastopexy w/Implants (Breast lift), Augmentation Mammaplasty (Reduction); 2) Full Abdominoplasty with Liposuction; 3) Dermolipectomy Arm (Brachioplastie); 4) Dermolipectomy Thigh-buttock lift (Thighplastie). Thank You. Shari    — Shari M. (posted on July 21, 2004)

July 22, 2004
Hi, I didn't have to appeal because Tricare approved my bypass on the first attempt. I'm just wondering what excuse they gave you? Normally Tricare is one of the easier ones to get approval through, although navigating the labyrinth of protocol is a pain in the @*(! If you want to email me, please do so, and I'll try to do what I can to help you figure it out, based on what I learned through them last year when I had mine. Best of luck! Keep fighting. Believe me, it's worth it! Christie, -200
   — christied

July 22, 2004
The only thing I have to offer is that it is my understanding that you will NEVER get plastic surgery for your arms approved by Tricare, no way, no how. This is what I was told by a benefits advisor at my base hospital, she said under no circumstances is it EVER approved in ANY region. That one may be futile. As for the rest, FIGHT 'EM!
   — jenn_jenn