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: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:

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

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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.

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

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keep trying!

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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a BMI of 50 or higher whether its the single procedure or a two part staged procedure (VSG..then DS), which is kind of outdated since the last update on the matter was in 2008!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.

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

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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!!

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

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That is AWESOME news!!!!

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