Denial- any ideas on how to win approval

honeyrubybee · January 10, 2011

Any get a denial from your insurance for having too low of a BMI & did you win your appeal? If do, how did you get approval? I'm 2 points below the required 40 BMI w/ no comorbitities. I was a self-pay for the lapband, had an errosion & lost it. Since then I have gained much of my weight back.

valsdetermined2lose · January 11, 2011

Hi i won an appeal with Anthem BCBS but not because of BMI, Oh thats a hard one but if you have other health reasons as to why then i suggest you fight to get what you want. My denial was investiongational although i appealed it took them 30 days to overturn the denial and approve my sleeve. Good luck to you

Any get a denial from your insurance for having too low of a BMI & did you win your appeal? If do, how did you get approval? I'm 2 points below the required 40 BMI w/ no comorbitities. I was a self-pay for the lapband, had an errosion & lost it. Since then I have gained much of my weight back.

MommyTawnie · January 11, 2011

did you have a sleep study done? if not get one asap.. from what I hear everyone has some form of sleep apnea "co-morbidity" a friend of mine was denied the first time around for the same reason "to low of a bmi" 2nd time she had a sleep study and was found to have sleep apnea. She was approved within 2 weeks of her appeal. Best of Luck!!