doingit4me 9 Posted February 15, 2013 I was just denied by my insurance. I am at work and cannot stop crying. I did everything I was supposed to. Right now, they say I am " only a 38 bmi". I can't take this. I need it. Called my doctor, she is working on it. I have to get myself together but so upset. Devastated. Share this post Link to post Share on other sites
annav562 40 Posted February 15, 2013 Was it the insurance or medical board?? Some insurance companies have a third party medical board that reviews cases and if they deny you it doesn't even get to the insurance company. ..find out and file a grievance. .do have your doc do what they can...best of luck! Share this post Link to post Share on other sites
jonessl 13 Posted February 15, 2013 I was just denied by my insurance. I am at work and cannot stop crying. I did everything I was supposed to. Right now' date=' they say I am " only a 38 bmi". I can't take this. I need it. Called my doctor, she is working on it. I have to get myself together but so upset. Devastated.[/quote'] I was denied the first time-my dr did a peer to peer with my insurance and i was approved. Calm down.....it will work out. Best of luck Share this post Link to post Share on other sites
doingit4me 9 Posted February 15, 2013 Thanks. Just trying to breathe. I am fiesty (just not at the moment). Great suggestions, I will work on it. Share this post Link to post Share on other sites
celebrate*me 52 Posted February 15, 2013 I was just denied by my insurance. I am at work and cannot stop crying. I did everything I was supposed to. Right now' date=' they say I am " only a 38 bmi". I can't take this. I need it. Called my doctor, she is working on it. I have to get myself together but so upset. Devastated.[/quote'] Me too they are telling me it's not medically nessasary and I have a 41 BMI and 3 comorbidities. My docs office working on it as well. My surgery was supposed to be this tuesday. I feel the same way. Share this post Link to post Share on other sites
celebrate*me 52 Posted February 15, 2013 I was denied the first time-my dr did a peer to peer with my insurance and i was approved. Calm down.....it will work out. Best of luck My doc is doing a peer to peer also. Share this post Link to post Share on other sites
celebrate*me 52 Posted February 15, 2013 I was denied the first time-my dr did a peer to peer with my insurance and i was approved. Calm down.....it will work out. Best of luck Why were u denied origanally Share this post Link to post Share on other sites
jonessl 13 Posted February 15, 2013 Why were u denied origanally They said my sleep apnea was not severe enough. Funny because my sleep study stated severe and will require the use of A CPAP machine for the rest of my life.. Share this post Link to post Share on other sites
hockeymumzie 181 Posted February 15, 2013 They said my sleep apnea was not severe enough. Funny because my sleep study stated severe and will require the use of A CPAP machine for the rest of my life.. Isn't that a joy. On paper i have mild apnea but I'm on a bi pap with levels of 21/19. Share this post Link to post Share on other sites
Wendilou 180 Posted February 16, 2013 I'm so sorry you have this complication! Don't give up--plenty of people here have had to take that extra step. Best wishes!! Share this post Link to post Share on other sites
katyg24 0 Posted February 28, 2013 I'm feeling somewhat discouraged as well and in the same situation. I have a 38 BMI, pre-diabetic, PCOS. I have not had my sleep study yet, the facility keeps having to reschedule because they are not contacting the insurance with enough time for them to approve the claim. I'm fairly certain I have sleep apnea which is what I need to have insurance approve the surgery. I'm feeling very discouraged because I don't know if I will be approved! I hope it will be reviewed again and approved for you! Good luck. Share this post Link to post Share on other sites
celebrate*me 52 Posted February 28, 2013 I'm feeling somewhat discouraged as well and in the same situation. I have a 38 BMI' date=' pre-diabetic, PCOS. I have not had my sleep study yet, the facility keeps having to reschedule because they are not contacting the insurance with enough time for them to approve the claim. I'm fairly certain I have sleep apnea which is what I need to have insurance approve the surgery. I'm feeling very discouraged because I don't know if I will be approved! I hope it will be reviewed again and approved for you! Good luck.[/quote'] It will be approved they may just need more info. I was originally a NO because they needed proof that I had attempted to exercise along with my 6 month of diets. I had my surgery 2/19. Worring can totally take over ur life because I understand wanting something sooo bad! Hang in there most of us on this board had to go thru the pergatory of the wait game with the stupid insurance companies. Share this post Link to post Share on other sites
agirlofaith 71 Posted February 28, 2013 I was denied at first for a 39 BMI- I had to go back in and reweigh and lucky gained 4 pounds after the holidays that bumped me up to over 40 BMI. I was contemplating putting weights in my pockets for the weigh in..... Share this post Link to post Share on other sites
ElleG 394 Posted March 1, 2013 I was just denied by my insurance. I am at work and cannot stop crying. I did everything I was supposed to. Right now, they say I am " only a 38 bmi". I can't take this. I need it. Called my doctor, she is working on it. I have to get myself together but so upset. Devastated. How is it going???? Any news? Share this post Link to post Share on other sites
doingit4me 9 Posted March 14, 2013 Update, resubmitted to insurance on march 13. In the waiting game, again. Hopefully, there is better news this time! Share this post Link to post Share on other sites