klizanich 8 Posted June 2, 2012 I have blue cross and let me tell u its a nightmare. I started this chapter of my life Dec 2011. I just finished up my 6 months of seeing a Dr a month and a dietary Dr. I did everything they needed except that i don't have my weight for 2007. And they denied me. So i just went to my primary Dr and asked him to write a letter to see if they will change there mind. I feel like im on a roller coaster. Im frustrated and upset.. Id anyone having the same problem Share this post Link to post Share on other sites
azquilter92 82 Posted June 2, 2012 the first time I tried i tried to get approved and it was for a lap band about 3 years ago the same thing happened to me.I was missing 1 year of a weigh in at my pcp,never mind that I have 20+ years with this same pcp and plenty of records,but it wasnt in the 5 years time span that they required,so they denied my approval,i was so disgusted i gave up until later,and early this year and got approved,but this time for the sleeve,Im glad i waited to go thru the process again. 1 aznurse4u reacted to this Share this post Link to post Share on other sites
emily_0192010 168 Posted June 2, 2012 I'm so sorry to hear this Ask your insurance coordinator or however submitted your stuff for approval about appealing. Do you have any weight history from before that year? It would be worth it to try to include that... logically there is no way your weight dropped THAT much in a year you know? FIGHT FIGHT FIGHT for it! Hopefully something will change. (((hugs))) Good luck! Share this post Link to post Share on other sites
Pookeyism 1,143 Posted June 2, 2012 Anything from a "credible" source should help...any doctor weigh in, any fitness program weigh in. Anything pertaining to work. Gyno visit, allergist, any specialist...possibly even a photo that you can submit the "timestamp" from the digital image. Think of everything you did that year. Go through your medical reciepts, etc. See if you can't find somewhere you went that they put you on a scale that would still have the records. PS - what about 2006 & 05 - it would help establish a pattern for when you appeal. Share this post Link to post Share on other sites
valdostaGA 149 Posted June 2, 2012 Wow I have BCBS Alabama and now I'm wondering do I need 2007? My coordinator went back from 08 until now,but I'm gonna try and track down 07 just in case. Share this post Link to post Share on other sites
Lovemeifyoucan 34 Posted June 2, 2012 Wow I have BCBS Alabama and now I'm wondering do I need 2007? My coordinator went back from 08 until now' date='but I'm gonna try and track down 07 just in case.[/quote'] I have bcbs, every plan is different . I only needed 3 years of history. Good luck in tour journey !!!! Share this post Link to post Share on other sites
valdostaGA 149 Posted June 2, 2012 Thanks! I just went and read their policy and it changed from 5yrs to 3. Share this post Link to post Share on other sites