For Those Who Have Been Denied

[thintopia 0]

Hi all. Would those of you who have been denied for VSG by your insurance company please respond to the following:

1. Reason your comany gave for denying your VSG
   
2. Insurance Company's name
   
3. How long was it between the submission of your paperwork for approval and the denial by your insurance company?
   
4. Action you took for appeal
   
5. Was your appeal successful or not?
   
6. If so, how long did the appeal process take?
   

Thanks!

[tbtroy78 0]

I was denied in december cuz being experimental my dr appeal 2 weeks later I was approved

[sleevegenie 0]

i have anthem blue cross hmo, denied d/t experimental, appealed to bc 30 days later they tell me you haven't officially been denied, the letter hmo sent says this is not a denial, but you have to go to bc to appeal??? just found out today OMG, so now its gone to some other dept, i'm so frustrated, this has been going on so long, i got the letter from the hmo on 2/6 i'm ready to scream, i'm gonna keep fighting this , i want the sleeve, ;O)

[sleevegenie 0]

are you compiling information about this situation?? if so please share it with me, i'm pretty sure i'll be denied, and i have every intention of appealing this, how much longer can they call it experimental when Kaiser and Untied offer it now, and :001_wub:they say aetna is gonna start offering it in april, :lol0:

[thintopia 0]

jeaniwantsasleeve,

I am just trying to have ONE place where everyone can tell their story about getting denied. I read the boards everyday and there seem to be a lot of people who were denied and are appealing or have appealed sucessfully.

Like you, I am pretty sure I'm going to be denied on the first try...so I want to see some appeal success stories!!

I am so worried because I will be changing jobs soon and my new employer does not have insurance that covers VSG. It is now or never!!!

Thanks to everyone who has replied to my post. Sorry to see there aren't more though! Makes me very nervous....

[Linda91 0]

i have anthem blue cross hmo, denied d/t experimental, appealed to bc 30 days later they tell me you haven't officially been denied, the letter hmo sent says this is not a denial, but you have to go to bc to appeal??? just found out today OMG, so now its gone to some other dept, i'm so frustrated, this has been going on so long, i got the letter from the hmo on 2/6 i'm ready to scream, i'm gonna keep fighting this , i want the sleeve, ;O)

Have you heard anything further? I also have Anthen Blue Cross and want the Sleeve? I am new to this type of chat room, so hope you get my question.

[sleevegenie 0]

no i have to wait for the denial letter before i can appeal. So as soon as i get the letter i am gong to appeal and if i have to i will appeal to the 'State of California Insurance Commisionner, i have been told that they usually vote in your favor. so good luck to both of us