Anyone Denied For Lap Band Surgery Despite Meeting All The Requirements?

[jayeedee 7]

I meet all the requirements for my insurance, Anthem of CA. I have BMI 42, 4 comorbities, clearance from all the pre-approval appointments etc. I was submitted to insurance for pre-approval early next week. I'm trying to stay... realistic about all of this. So I was just wondering if anyone has ever been denied by insurance despite meeting all the requirements?

I am no good at waiting on things that have short timelines!! this 5-10 days is killing me.

[loretta\ Baconton Georgia 10]

I am in the same boat. I have 36 bmi with two comobidities so I am just waiting for the call from the surgeon to tell me if my insurance approved it. Have you called your insurance company yourself and asked for a LIST of every thing that they require? There is more to mine than just BMI and comos. I had to do a 6 month non surgical weightloss program, and sleep study, and psychological evaluation.. as well as getting medical records showing 5 years of obese history and approval letter by my pcp..

[jayeedee 7]

I met all the insurance requirements, did all the pre-reqs, and was forced into a sleep study by my doctor. Oye. I think it is that it has to go in for approval and it takes time. It makes me think that even though I did everything I was supposed to do, they still have the freedom to say no. And then there is the waiting for the letter in the mail part. I wish they could approve via the site and notify of a decision via email. Ah well.

Must work on my patience.

[HopeThruFaith 30]

Cigna denied me after making me wait 33 days for a descion despite the fact that I had satisfied all my requirements. They didn't like the way my doctor documented my 6 month supervised diet. We resubmitted with additional documentation si I'm back to playing the waiting game....so nerve wrecking :0(

[jayeedee 7]

totally approved.