Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Im sooo upset AGAIN!!!



Recommended Posts

So I got denied the first time because my insurance company AETNA needed 3 weights for 3 yrs and in 2008 my bmi was less then 40!!! so I gave my docs weights for 2005 and 2006 and prayed to get approved but once again I got denied!!!!

so my question is.... is is possibly to put it in the 3rd time cause now I found a weight that was high in 2008!!! or after 2 trys do they drop ur case???

if anyone knows plzs let me know im driving myself crazy!!!!

Share this post


Link to post
Share on other sites

Having a similar problem here. On

Wednesday BCBS told me everything looked fine for approval. Sent them the weight for 2008 that they requested. On Thurs. got a call that I was denied bcause the weitht was too low in 2008. I then submitted three other weights for 2008, since I have constantly tried to lose the weight without success....my weight varied from month to month. I don't know why after the 6 month diet that I followed they are going back 2 years to my old weight. I am now at my highest weight ever. So disgusted that after 7 months of following all their rules this happened.

My surgeon is calling them for a "peer to peer" discussion to try to reverse the denial. I have my date and everything.

Not happy at all. cat lady:thumbdown:

Share this post


Link to post
Share on other sites

I think you should send in those weights you found with a appeal letter. people on here may have some samples. If not the insurance commissioner for your state can help.

Jennifer

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×