Heartbroken Ins request Help- lapband revision approved yet they want 5 yrs of diet journal

[BellaHugz 331]

I just called my surgeon office to find out what is going on with my approval it has been 14 days so I wanted to know. To which I found out that insurance hasnt declined my surgery they just want a diet journal of the last 5 years of my diet since I had the lapband. How do I do that? Most of the time I was compliant then when I had complications from my lapband I could barely keep food in. If I eat Protein, chicken, hamburger, steak, turkey what ever I would never know if this is the meal that would make me throw up. Some times it would be 5 minutes after eatting other times it could be up to 20 minutes after eatting. So did I keep a journal, no.. Now what do I do?

The cordinator is telling me I had no idea your insurance would ask for this. And my response is Cant my Dr do a peer to peer with the insurance on my behalf? So now i wait, broken hearted.

If anyone has come accross this problem with insurance can you please tell me what to do? I want to call my insurance and say are you kidding me? Really, I had a faulty lapband I was lucky if I could keep my food down. Any suggestions would be greatly appreciated!

Heartbroken.

[BellaHugz 331]

Any ideas "Revision Peep"s", Now my hubby wants me to get a lawyer jut to get the insurace to be approved. I am really thinking about Mexico for surgery. Now if i can just fine an extra $$$

[chinamama 104]

I'm with hubby. Don't let them get away with not paying!! That's what they want you to do, give up and go to Mexico. Call www.wlsappeals.com I talked with Kelly and she was great, they are actually a lot less expensive than you might think.

Good luck!

Laurie

[FRED1977 186]

I had to do this but it was fairly simple they just wanted to know what other things I have tried and how long did I try to loose weight. You should call insurance and ask exactly what you need to provide. What insurance company do you have?

[BellaHugz 331]

Fred, Thank you.. I will call tomorrow and speak with the insurance and see exactly what they are requiring from me as far as wheat I have done to keep the weight off. I have BCBS Anthem insurance.

[BellaHugz 331]

ChinaMama, Thank you I will contact wlsappeal and see what my options are. This is crazy, before I started my journey I spoke to the insurance company and asked what they required and they didnt list a 5 yr diary and to top it off this 5 yr diary is not listed on the insurance website for requirments!!

Thank you so much for responding!!