LivingForGod 111 Posted January 7, 2014 So as you all know I was denied by my insurance. So I had to do an appeal. I sent in a lot of medical records a letter from my PCP and a letter I wrote. I sent all that in on Dec 30. They received it on the 31st. They told me it will be 30 days before they made a decision. So I checked about a hour ago and they reversed the denial and approved it. I AM TOO HAPPY. I TRUELY THANK GOD BECAUSE WITHOUT HIM, IT WOULD NOT BE POSSIBLE!!!! 31 nnegrete329, gmanbat, Teachamy and 28 others reacted to this Share this post Link to post Share on other sites
Sassy Pants1 186 Posted January 7, 2014 Fantastic news! Congrats. You will be on the losers bench before you know it. 2 planetheather and LivingForGod reacted to this Share this post Link to post Share on other sites
LivingForGod 111 Posted January 7, 2014 Fantastic news! Congrats. You will be on the losers bench before you know it. Thank you!! Im so ready!! Share this post Link to post Share on other sites
michelle68 46 Posted January 7, 2014 With God...ALL things are possble! I am so happy for you!!!!! 1 LivingForGod reacted to this Share this post Link to post Share on other sites
LivingForGod 111 Posted January 7, 2014 With God...ALL things are possble! I am so happy for you!!!!! Yes ma'am they are!! Thank you!!. It's been a long road but God is seeing me through! 1 BellaHugz reacted to this Share this post Link to post Share on other sites
SandeeD 363 Posted January 7, 2014 YES, HE is able! Congratulations sis! So happy for you! 2 LivingForGod and BellaHugz reacted to this Share this post Link to post Share on other sites
LivingForGod 111 Posted January 7, 2014 YES, HE is able! Congratulations sis! So happy for you! Yes he is!! Thank you so much! Share this post Link to post Share on other sites
endless80 697 Posted January 7, 2014 So as you all know I was denied by my insurance. So I had to do an appeal. I sent in a lot of medical records a letter from my PCP and a letter I wrote. I sent all that in on Dec 30. They received it on the 31st. They told me it will be 30 days before they made a decision. So I checked about a hour ago and they reversed the denial and approved it. I AM TOO HAPPY. I TRUELY THANK GOD BECAUSE WITHOUT HIM, IT WOULD NOT BE POSSIBLE!!!! I love hearing stories like this. Congrats. 1 LivingForGod reacted to this Share this post Link to post Share on other sites
Seela 1,187 Posted January 7, 2014 Congratulations. .. It's even sweeter because you had to fight for it! 2 LivingForGod and ProudGrammy reacted to this Share this post Link to post Share on other sites
Rena's got this 274 Posted January 7, 2014 Nice Job... congrats! Why did they deny you in the first place? What made them reverse the denial? I was denied by BCBS of Alabama this past December, and my surgeon is going to appeal the decision this week through a peer to peer review. I'm hoping that it goes through this time since I was able to send in some additional information from my doctor. Keeping my fingers crossed! Share this post Link to post Share on other sites
LivingForGod 111 Posted January 7, 2014 I love hearing stories like this. Congrats. Thank you...and yes I did have to fight Share this post Link to post Share on other sites
LivingForGod 111 Posted January 7, 2014 Congratulations. .. It's even sweeter because you had to fight for it! Thank u!! And I did have to fight for it Share this post Link to post Share on other sites
LivingForGod 111 Posted January 7, 2014 Nice Job... congrats! Why did they deny you in the first place? What made them reverse the denial? I was denied by BCBS of Alabama this past December, and my surgeon is going to appeal the decision this week through a peer to peer review. I'm hoping that it goes through this time since I was able to send in some additional information from my doctor. Keeping my fingers crossed! They denied me because 1.During the 6 month weight management I gained weight and 2.They said it wasn't a medical necessity. I have arthritis, degenerative disc, bulging disc and lumbago in my lower back. So I went to my pcp and told her I was denied. So she gave me a copy of my mri and all my records and she also wrote a letter. Then I had been to another dr and I got my records from them as well. Then I went to my ob/gyn and got my records. I also have PCOS and weight gain is associated with that. And with my back im not able to exercise or anything. I havent worked since August. So with all that and God, they reversed the denial and approved it. Share this post Link to post Share on other sites
LivingForGod 111 Posted January 7, 2014 Rena's Ragdolls why were u denied? Share this post Link to post Share on other sites
Rena's got this 274 Posted January 7, 2014 Rena's Ragdolls why were u denied? I was denied because I hadn't had a BMI of 40 or above in the past 3 years, and I didn't have the required co-morbidities for the past 3 years. I do have co-morbidities, just not the ones that they recognize. I have high cholesterol, GERD, borderline diabetes taking Metformin to prevent getting full blown diabetes, knee problems and moderate sleep apnea. I found medical records showing my high cholesterol for longer than 3 years, and I have a strong family history of diabetes, so I'm hoping that will be enough. I also found where I weighed in with a 39.1 BMI back in 2011, so that may help. Share this post Link to post Share on other sites