Putting together my 2nd appeal

[DreamsOfSkinny 53]

HOW FRUSTRATING!!! Reading stories like this makes me actually relieved that I was not covered for WLS by insurance.

I would love to not have to fight but 1) I'm hardheaded and love a debate 2) I don't have the money to self pay

[Ms_JackieDMV 18]

Waiting on surgeon office to fax over peer to peer appeal.paperwork I was denied for low BMI with no health issues. Reweighed me BMI is 41 crossing fingers

[DreamsOfSkinny 53]

Waiting on surgeon office to fax over peer to peer appeal.paperwork I was denied for low BMI with no health issues. Reweighed me BMI is 41 crossing fingers

Good luck!! Are the ins. Saying you need certain BMI for previous 2 or 5 years?

[Ms_JackieDMV 18]

No not cigna

[Beautyandbeyond 227]

Hi Dreamofskinny, my info will be submitted next week to UHC and i will let you know how it goes!

[DreamsOfSkinny 53]

Hi Dreamofskinny' date=' my info will be submitted next week to UHC and i will let you know how it goes![/quote']

Thanks and good luck!!! My ins. Received mine on the 9th (per my certified receipt) but they haven't logged it into the system yet. I'll call again tomorrow

[DreamsOfSkinny 53]

UPDATE:::

I checked with ins. And they said they received it on 1/10. Logged it 1/11. And attached a faxed letter from my doctor today, 1/14. The 2nd faxed letter from dr was faxed today but more than likely not be attached until tomorrow. No word on whether they have accepted it as urgent. That 72 hr deadline is tomorrow but then again I didn't get them the final paper until today. Hoping to hear a final decision by Friday. Prayers! I'm out of state until the 30th anyway so can't have surgery until February. But if it comes to external appeal I want to send that out before I leave on the 22nd.

Lost a few of my necessary 10 lbs for surgery so that's good. Either way it goes.

[DreamsOfSkinny 53]

APPROVED 1/17/13!!!!!!!!!

[DreamsOfSkinny 53]

Hi Dreamofskinny' date=' my info will be submitted next week to UHC and i will let you know how it goes![/quote']

Keep me posted. Wishing you the best and sending the most positive thoughts.

[Ms_JackieDMV 18]

Yesss! I was approved on 1/15/12 received a call surgery is schedule on 2/19 last doc visit 2/7 blood work anesthia on 2/12 payment out of pocket $1250.00 God is awesome. Congrats that peer to peer works when your are denied.

[oklafarmgal 31]

Congratulations!!! All your hard work payed off. Hang in there and let us know your progress. Again, congrats!!

[Diamondeyed 399]

Congrats

[Beautyandbeyond 227]

Keep me posted. Wishing you the best and sending the most positive thoughts.

Hey lady, so far when I reached out to my surgeon's office Tues they stated they are still reviewing my file internally which could take up to 10 bus. days to pass on to ins. Im going to call tomorrow afternoon to she if they have made any headway. More to come!

[Ms_JackieDMV 18]

Have your surgeon office call they will fight for your approval. It's a different dept that we don't have access too. So a lot of times when you call they will say they never received it. The director office will have your paperwork that only the surgeon will have access too. I hope this helps..

[DreamsOfSkinny 53]

Yesss! I was approved on 1/15/12 received a call surgery is schedule on 2/19 last doc visit 2/7 blood work anesthia on 2/12 payment out of pocket 1250.00 God is awesome. Congrats that peer to peer works when your are denied.

Congrats to you!! My oop max left is like $1500. So with everything that would be my most (plus I still have other health things that are being processed). I already have it set aside waiting

I'm hoping to hear tomorrow for pre surgery appt and surgery date. I'm going tomorrow to do all of my blood work and tests. I'm hoping for 2/1 or 2/4 date. I have to still lose some weight though per doc so now that I have my approval I'm switch from low-fat/cal diet to probably liquid diet. I have 6 weeks left before my ins. Ends and so does my job! So this has to be done asap so I can heal and get another job.