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

On the verge of being denied...



Recommended Posts

I got a box in the mail today of all the post op chewable vitamins I ordered. I got so excited to open them all up and try them (chewable Calcium tablets, yuck) but I stopped and realized that there is a very real possibility that my insurance will deny me. I got some opposition this week with my bmi being "low" and my blood pressure being only diagnosed for 2 years (as opposed to the required 5 years). My case manager basically told me to be prepared for a "no". I know that I can appeal it but its just a very depressing thought. Also that if I'm denied I will lose my slotted surgery date of April 15 that I feel so ready for and married to. I'm just feeling really discouraged and nervous. Not what I wanted to hear on a Friday to have to worry and stress out about all weekend.

Ps I have Horizon BCBS NJ. My bmi is 37.5 and I take meds for high BP but no meds for high cholesterol. I'm 5'7" and weigh 240 and I'm 31 yr old. Not to mention now very depressed :(

Share this post


Link to post
Share on other sites

You should look into self pay mexico. You will get that money back with saving on medication, reduced food intake, and self feel good

Share this post


Link to post
Share on other sites

I have Horizon BCBS of NJ as well. I weighed 267 on my visit to my surgeon, I am 5'5 and my BMI was 44. I had no problem being approved. I don't know what they consider a low BMI tho to cover the WLS surgery. Just wanted you to know that I have the same insurance as you and received approval. My surgery was on Jan 2, 2013. Don't give up, and def appeal if your denied.

Share this post


Link to post
Share on other sites

I live in Louisiana, I went to Dr. Borland in New Iberia, La I was self pay $9,800

I would recommend him in a heartbeat. I was sleeved 2/25/13

Share this post


Link to post
Share on other sites

I live in Louisiana, I went to Dr. Borland in New Iberia, La I was self pay $9,800

I would recommend him in a heartbeat. I was sleeved 2/25/13

I have heard so many wonderful things about him! I too live in Louisiana but I am trying anything I can to not be a self-pay. I previously had the lap band that has given me nothing but problems and was a self-pay but I just can't afford another surgery completely out of pocket.

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

    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 1 reply
      1. stevieoriole

        Am feeling this right now. My surgery date is 4/1. Sign the consent tomorrow. I feel like I overloaded myself with too much info, too many opinions. Got to the point where I was wondering if I should do this. Then I thought of my reasons for taking this step and that settled my nerves. Still get moments of doubt but am striving forward. Am just going to follow my book from the surgeon. Joined this because I was told by my dietician that I should do this for support

    • buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Yay!! Congrats. I know how good that feels. 🤩

  • 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

    ×