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tjstephens4

Gastric Bypass Patients
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Everything posted by tjstephens4

  1. I received pre-approval to start the program through BCBS - met with the surgeon on April 1st - got launched right into all other appts, Behavioral, Psych, Exercise and Dietician all in April - Even started my 10 weeks of Behavioral Health groups in April - Completed the program and all other required appts by Mayo on June 30th - met with the surgeon for final authorization on July 6th - waited till Aug 3rd to be denied... Somehow everyone was unaware I needed 6 months of physician supervised weight loss (did I mention I have all my food logs, exercise logs and health logs since January 2014???) Was told my Mayo nothing they can do, I will need to battle with insurance so I appealed sending in all my food, exercise and dr appts showing weigh ins along with what I had done April to July on August 4th. Waited until Sept 11th to get a letter in the mail denied again due to needing 6 months - they see the food logs but didn't see the dietician till April. Okay so does this mean I have to start all over now that I didn't see a Dr in August??? No one will answer me - they just keep repeating that I need 6 consecutive months but didn't see the dietician till April. Any advise on that one???

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