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health insurance for lap band...help me!

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kimsoto

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I just had my first consultation. I am trying to schedule all my required classes to get the ball rolling. I was confused about the Psych evaluation so I called the insurance verifier. She proceeds to tell me that my medical group has been denying people left and right for the lap band. I was so upset because my hopes for the procedure were so high. Is this normal? Am I going to have a hard time getting this approved? My BMI is 39.4. I should qualify with flying colors. Please help.

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I just had my first consultation. I am trying to schedule all my required classes to get the ball rolling. I was confused about the Psych evaluation so I called the insurance verifier. She proceeds to tell me that my medical group has been denying people left and right for the lap band. I was so upset because my hopes for the procedure were so high. Is this normal? Am I going to have a hard time getting this approved? My BMI is 39.4. I should qualify with flying colors. Please help.

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Do you have a copy of your bariatric policy with the list of requirements and do you meet all those? I'm not sure who the 'insurance verifier' is, but have you talked directly to the person who works with the insurance companies to get your approval at the surgeon's office? When you say 'my medical group has been denying people' are you talking about your insurance company or your surgeon? -BG

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