sews4fun 53 Posted July 24, 2012 Well I'm sure you all know I am still waiting on a surgery date! I received a phone call today from my weight loss center telling me that they talked with my insurance company and my insurance company has denied my approval for surgery because...get this.......IT IS NOT COVERED UNDER MY PLAN!!!! What????? When did this change I asked? She said she did not know but there was nothing more she could do. I told her that I would call my insurance company and call her back. I called my insurance company. I was on the phone with them for 30 minutes. The lady I talked to said that it IS a covered procedure, if it is medically necessary and said that I was denied because my BMI was under 40. She said she would check everything out and call me back. I called the weight loss center to see what my BMI was on the chart that they sent in. She said it was 41.2!!! The lady at the insurance company called back about 4 hours later and said that everything should be covered as long as the precertification dept. approved. She gave me the fax # for precert. I called my weight loss center back and told her everything that insurance said and gave her the fax # and reference #. She said she would fax all the paper work to them. Hopefully I will find out if I'm approved within the next 48 hours. Please say a prayer...I've been sooooo emotional all day!!!! I almost went out and bought a pizza....but I didn't!!! I had a Protein Bar instead!! Share this post Link to post Share on other sites
NWgirl 574 Posted July 24, 2012 I am crossing my fingers for you! Sometimes insurance companies use some interesting calculations to get your BMI. Hoping yours is just lagging behind. Share this post Link to post Share on other sites
sews4fun 53 Posted July 26, 2012 Well.......I got a precert #!!! I am soooo excited!!! My insurance company has issued a precert # for my surgery and said that is all I need. I am good to go!!! I see my surgeon tomorrow for my results from my upper endoscopy and I am going to ask for a surgery date! Hopefully I'll get my band within the next 2 weeks! I'm so ready! 3 NWgirl, Maddysgram and ashiashley reacted to this Share this post Link to post Share on other sites
Jellyfish 17 Posted July 27, 2012 Hooray!!! Congrats, I'm glad everything came out okay and I hope they can get you scheduled soon! Share this post Link to post Share on other sites