How does the appeal process work?

[skb123 308]

I personally had no problem my insurance is all for it. However my daughter has many weight related conditions and twice they have said no to WLS. Their reason is because her conditions are treatable with medication. She just is not sure how to go about it at this point. Just wondering if those who ran into these road blocks, how you went about getting it approved. Thank you and Happy Fourth of July one and all!!

[RitzysWeightLoss 3]

I personally had no problem my insurance is all for it. However my daughter has many weight related conditions and twice they have said no to WLS. Their reason is because her conditions are treatable with medication. She just is not sure how to go about it at this point. Just wondering if those who ran into these road blocks' date=' how you went about getting it approved. Thank you and Happy Fourth of July one and all!![/quote']

I was denied when I first applied because my percent of body fat was below 40 and I didn't have any of the REQUIRED co-morbidities. A doctor asked me if I snored and when I said yes, he suggested I do a sleep study to see if I had sleep apnea. Turns out I do, so I had my WLS office manager resubmit my paperwork with the addition of my sleep apnea diagnosis and was approved about a week later. I think the Insurance companies list exactly what their requirements are and if you can get that information, you will know what to do to be in compliance and get the surgery approved.