Been trying to get approved for 4 years!

[kaispinksalon 0]

I have recently changed Drs Group to help get approved for the lap band surgery. I am a young mom of three and have an underying condition that may be significantly helped by this surgery. I have psuedotumor cerebri, fancy name for your spinal Fluid pressure is high and if you dont help regulate it you may go blind and/or have the worse migranes of your life for the rest of your life. I was diagnosed in 2006 and have been on this never ending Quest for answers and solutions to improve my life.

My last Dr was not very active in persuing my surgery even though my Neurologist & Opthamalogist were all for it. I feel like my primary Dr thought I was not a priority and therefore my needs were always pushed to the bottom of the pile.

Now, I have taken a more active road and decided to go to seminars and get my own information. I've been to so many here and a few in Los Angeles. Its redundant and fustrasting knowing that I keep fighting for this and I keep getting denied insurance coverage for it. What must I do to get it done ASAP? Or at least get me on the road of approval?

[jay150 5]

I have recently changed Drs Group to help get approved for the lap band surgery. I am a young mom of three and have an underying condition that may be significantly helped by this surgery. I have psuedotumor cerebri, fancy name for your spinal Fluid pressure is high and if you dont help regulate it you may go blind and/or have the worse migranes of your life for the rest of your life. I was diagnosed in 2006 and have been on this never ending Quest for answers and solutions to improve my life.

My last Dr was not very active in persuing my surgery even though my Neurologist & Opthamalogist were all for it. I feel like my primary Dr thought I was not a priority and therefore my needs were always pushed to the bottom of the pile.

Now, I have taken a more active road and decided to go to seminars and get my own information. I've been to so many here and a few in Los Angeles. Its redundant and fustrasting knowing that I keep fighting for this and I keep getting denied insurance coverage for it. What must I do to get it done ASAP? Or at least get me on the road of approval?

Sorry you are struggling to get approved. Did you try calling your insurance directly and asking them specifically what they require. Maybe they can send you something in writing and you can check things off rather quickly. I have BCBS and they needed me to go to a pre-op seminar, get a nutritionist evaluation, psychiatric evaluation, document all the diet plans i have tried over the past 12 months, plus get a letter from my primary dr. as well as a letter from my surgeon. Good Luck to you and be aggressive in your follow-up with the doctors....sometimes being a bit pushy will pay off.