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New here from Simi Valley CA



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Hi everyone,

I'm new to posting but I have been reading many posts. First I want to say thank you all for your insight. Reading your posts have helped me realize that the sleeve is the right choice for me. I'm having a bit of trouble though... I am 5'1" 204 lbs with joint/arthritis issues in my hips and back, depression, anxiety and asthma. I finished my psych exam & 3 nut consults and I was told that my paperwork was going to be submitted. But now the surgery consultant is trying to force me into getting a sleep study. I mean she's seriously bugging me daily about it. I told her that I had one before when I was 25lbs heavier and do not have sleep apnea. She told me that she submits a lot of people's paperwork and she knows that I will be denied if I dont get the study done. I said so basically you're telling me that no matter what I will be denied anyways since I DO NOT HAVE SLEEP APNEA and getting the study will waste my time and hers. She said well I have a better chance if I get the study done. How is this possible when I know for a fact that I dont have it. My question is doesnt hip/back joint/arthritis, depression, anxiety & asthma count towards co-mobs? Should I just tell her to submit the paperwork for approval and I will file an appeal if I get denied? BTW I have Anthem Blue Cross of CA PPO.

Thanks for your insight.

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Hi Simi I just sent you a PM.

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Hi, I have Kaiser and my BMI was high 36s and despite having high blood pressure, high cholesterol, joint/arthritis issues, and the beginnings of carpal tunnel and they rejected me so I had to go self pay. I'd do the sleep study just to show them you are willing to jump through their hoops they do seem to like us doing that.

Good luck

Nancy

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