Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Insurance Denial Because Of Gap In Weight History?



Recommended Posts

So I am the type of person who has to have things in order before I do something major. :-)

I am looking through my insurance documents to see what all I will need for approval. I went without any insurance for 2.5 years from mid 2007 to early 2009. Late 2008 I thought I found a way to lose weight and keep it off... Well it did not work and three years later I am back up plus 20lbs. My insurance company requires 5 years weight history, but I only have 3, and a portion of that time my weight was down. Do you think they would accept weight history prior to losing my insurance? If they look at that they will see I have had weight issues basically my whole life... I think I'm having more signs of hypoglycemia more often. Also diabetes, high blood pressure, and congestive heart failure runs in my family.... So I need this so I can get married to my wonderful fiancé and start a family and be there for the kids when we have them...

Sorry for the rambling, but I am so freaked that they will tell me no........

Share this post


Link to post
Share on other sites

I had the same problem....I have united healthcare and they denied me because I didn't have 5 years in a row of 40+ bmi. I have been fighting with them for the last three years over this! So I am now going to go to mexico and forget trying to put it through to the ins again!

Share this post


Link to post
Share on other sites

I have United too and needed the 5 years of BMI at 40 or greater. When I first started looking into this it was October last year and I only had 4 yrs of 40BMI so I had to wait until January to get weighed again at my Doctor's office. But, the approval went really fast after that and my delays in getting the surgery were my choosing.

Share this post


Link to post
Share on other sites

So.... Has anyone had good luck with UHC and not have records for 5 years of BMI 40+? I have records showing I have been over the 35 mark through most of my 20's. But I didn't have insurance for a few years, so there are no medical records for 2007 and 2008, when I was at this weight. I don't want to weight five years and not do anything. But I don't have the money to get sleeved in Mexico... :-(

Share this post


Link to post
Share on other sites

I don't have the money for Mexico right now either....so I am waiting just a little longer until next year and then I am going to use part of our tax return to pay for it. I also don't want to become in debt because of the surgery! I would probably be able to get UHC to pick it up next year....but I have no clue what the bill to me will be! I like knowing that 6K (including airfair) is all I need to be on my way to finding me!

Best of luck to you!

Share this post


Link to post
Share on other sites

I have uhc ppo and did not have 5 years of 40 bmi yet i was still pre- approved. They also did not require many of the other tests other insurance require.

Share this post


Link to post
Share on other sites

Sleevehopeful, good luck and I hope you have a smooth trip and quick recovery!! So happy you have the opportunity to go to Mexico! :-)

Sherry, that gives me hope. I have the Choice Plus HDHP... So fingers crossed they approve me. Going to call them to see what they say about it. Fingers crossed.

Share this post


Link to post
Share on other sites

Sleevehopeful' date=' good luck and I hope you have a smooth trip and quick recovery!! So happy you have the opportunity to go to Mexico! :-)

Sherry, that gives me hope. I have the Choice Plus HDHP... So fingers crossed they approve me. Going to call them to see what they say about it. Fingers crossed.[/quote']

Good luck! Keep me posted.

Share this post


Link to post
Share on other sites

Yes, I was denied because I didn't have 2 consecutive years of weight history. I just never went to the Dr. If you message me, I will tell you what I did.. :)

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 1 reply
      1. Green battery collection for

        Copper wire recycling http://cuprum.wang/

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×