Shannyn

Thanks for the encouragement, I need it right now. I just spoke with Dr Shumachers office, they are doing a peer review with Anthem on Friday, so hopefully I will have good news. The insurance lady at Dr Schumachers office said they usually are successful when they do the peer reviews, so I am keeping my fingers crossed. They did have to cancel the surgery scheduled for next Tuesday because I was supposed to go tomorrow for my preadmission tests, and I cant even do that until they approve it. I will let you all know when I hear something

Hello, this is my first post but I have been coming here for awhile. I started the lapband process in August of 07. I finally got everything together that I need to submit to insurance at the end of Dec 07. My BMI is 37, I have high cholesterol, high triglycerides and am pre-diabetic. My insurance company approved me the first week of January and I have a surgery date set for 2/11/08. I am supposed to go Tuesday for my preadmission testing. Friday I got a letter from Anthem stating that the surgery is not medically necessary and they will not cover it even though it was already approved. Does anyone have any advice on what I should do next? I am so discouraged right now, I am beginning to think I will never get the band:mad: