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

Recommended Posts

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    ×