itsme630

All my paperwork was submitted to my ins. co. for pre-approval. I supposedly only needed a BMI over 35 with a co-morbidity which I have. I got my denial back from Horizon BC/BS of NJ and they want me to do 6 months of supervised doctor dieting which i haven't done. Conveniently my employer is switching ins. co. Jan. 1 08' so I won't have the time. I'm bummed out but will try in Jan. with the new ins.co. :angry

Does WW count or must I go to my DRs. office? Has anyone had experience with this? Thanks....

That is my plan I agree with you it could be a requirement for the next insurance co. also....

I went to the Barix Clinic in 5/07 to start the process for lap-band surgery. Went to a seminar at the center and was told by them in person and via a form letter what my ins. required for surgery. Had my psych. eval., dietary eval. and my PCP submitted a letter. Now they are telling me I need my PCP to write a letter stating I've had a BMI over 40 for the last 5 years. I know they won't do it as my BMI is not over that now nor was it when I went to the seminar. I was told in person and in writing that <40 with a co-morbidity was what I needed. Why if they knew from the get go I wouldn't qualify did they have me even strt this process? I am so disgusted and depressed over this. I have BCBS NJ Plus insurance. Does anyone have experience with them?

My PCP did write the letter and explained I am on 2 BP meds. I don't get it. I am waiting for another phone call back from the Barix Clinic to explain why what they told me I needed isn't correct:(:car:

<p>Has anyone been operated on by any of the Drs. here? If so which one and are you happy with them? Thanks...Sue</p>

It's good to hear you were pleased with them. I'm waiting for approval from my primary Doc. I've had the psych and dietary approvals but when I went to my Doc. appt. my BP was higher than he wanted it to be. He put me on a new med. and said as long as it's down when I go back on Aug. 30th he'll give me the approval. As we all know high BP is a co-morbidity but I'm at his mercy. He wanted me to go to a seminar on Gastric Bypass as he's had alot of patients with success by going that route but I told him I know it's not an option for me. I'm crossing my fingers my BP is down so the authorization process with my insurance can start.

I have my psych. today and then my paperwork should be submitted. I like you am anxious to get the answer and hope it's yes. I have Horizon BC/BS of NJ and hear they are quick repliers also...