Denied...blah

[tasherie 35]

:banghead: Spent ALL day writing my appeal letter. They denied me because my BMI is not 50+. Carefirst...sooo behind the times. I kind of knew I would be denied at first anyways so I was really prepared with my guns already cocked :aureola: ..so hopefullyy with all the information I just threw in their face I will be getting my approval soon. LOL :Banane56:

[yecats 109]

I wish you the best. Do not get discouraged and keep trying. Prayers sent your way!!!

[longer-life 139]

I like your perseverance! Best wishes! Keep us updated.

[Afro_Cyster 74]

Keep going at it. If you get denied again, ask to speak to their on staff physician. They normally take another look at it and approve right then and there.

[Ms skinniness 3,003]

Keep fighting it! Do you have any medical problems like diabetis? High blood pressure? Those are definitely something that would qualify you.

[circa 333]

keep trying!

[tasherie 35]

Well it is a covered procedure, and even in their update it is proposed as a stand alone procedure but they still carry the stipulation that you have to have a BMI of 50 or higher whether its the single procedure or a two part staged procedure (VSG..then DS), which is kind of outdated since the last update on the matter was in 2008! SMH

I will make sure to keep everyone updated, cuz I am sure someone else will have to go through the same thing.

[tasherie 35]

And thank you everyone for your encouraging words! They really do mean a lot. :biggrin5:

[tasherie 35]

Omg! I just got the call this morning from my surgeons office that the denial decision was OVERTURNED!!! guess my letter worked rather well! lol I am so nervous right now! My surgery is scheduled for March 8th!! Yikes!!

[Meljp 36]

GREAT NEWS!!!! So happy for YOU....

[tasherie 35]

Thank you so much! Now I have to figure out this dang ticker LOL

[circa 333]

That is AWESOME news!!!!