Question:
TriCare Prime

This is for those of you with TriCare Prime. Will they pay for the tummy tuck if needed and what are the qualifications? Thanks.    — jamie H. (posted on July 24, 2002)

July 24, 2002
Jamie, I may not be much help, but I am Tricare Standard. I asked a benefits representative if the panni AKA: TT was covered, and she said yes, if it is medically necessary. From what I understand, that would be if you are getting irritation, infections (yeast or other) from the apron hanging down. I had an elderly patient with an apron and someone had been forgetting to put a pillow case between it and the groin area...it was not a pretty or good smelling sight. It can get pretty serious when you consider the skin breakdown. With Tricare, you shouldn't have any probs.
   — Tina B.

July 28, 2002
Hi, I have TriCare Standard and they are going to pick up what my primary ins. doesn't cover. If I had no insurance, they would pay for it if medically necessary. I don't think rashes are absolutely necessary for approval. I didn't get rashes. I took care not to. I have bad back pain though and have been seeing a chiropractor for the past 10 mos. without relief. My PS took pictures, and after 1 look at them the insurance co. approved without any questions. If your apron hangs below the pubic area, you shouldn't have any probs being approved.
   — Karen B.