countrygrl1978 26 Posted April 12, 2014 I finally talked to the patient coordinator at my doctors office. He basically told me since my bmi is 38.6 and I don't have any other issues, I won't get approved. Mind you, I have been going there since September. When I first started I had food poisoning for a week and lost about 10 lbs which put me under the 40bmi. I don't know what to do. I don't know to try to put the weight back on and go to another dr and start over or try to get Kaiser and go through them. I've been in tears for hours. I am so so mad that they have put me through all of this for what I feel like is nothing. I have missed so much work, driven 40 miles each way at least twice a month if not more, just to get told, you won't get approved. Share this post Link to post Share on other sites
carriebeth 4 Posted April 12, 2014 You don't have acid reflux? Or PCOS? sleep Apnea? High cholesterol? NOTHING? Aching joints?planter fasciitis? High triglycerides? Share this post Link to post Share on other sites
elfnow 277 Posted April 12, 2014 Have you done a sleep study? Do you snore really loud (also a sleep apnea problem)?? Seriously there must be SOMEthing. The alternative is to ask them to keep everything on file and be ready to submit when you inevitably come back.... Share this post Link to post Share on other sites
countrygrl1978 26 Posted April 16, 2014 I did my sleep study in November. I snore a lot and loud. My husband hates it. I have borderline high cholesterol. My knees kill me if I walk for too long and stairs make me cringe, all I've told them. I talked to blue shield yesterday. The final. decision will be by weeks end and they told me then I could go to another dr. I've already made an appointment for the 28th, and he's in network, so it's a 10% co pay rather than 30! I honestly think they were upset because they would submit a$13000 bill and blue shield paid $173 of it. I think they were trying to rip off the insurance. I talked to the other dr office at length and she told me she can get all the other info from the other office and use all my tests and sleep study, that all she would submit would be my weight. I wouldn't have to do the 6 month weight since at this point I am probably right at 40 bmi. So since my husbands 40th bday party is on the 27th...I am planning on eating like a pig!!! 1 1Day1Life4Now reacted to this Share this post Link to post Share on other sites
1Day1Life4Now 882 Posted April 17, 2014 sounds like you just needed to change doctors. It seems like you will be better off in the long run. Good luck to you. Share this post Link to post Share on other sites
