kelew39 64 Posted August 29, 2014 So I was denied because Aetna said I didn't do my 90 day supervised visit. I was off by 26 days. I was told in the beginning that I only had to do 3 visits, 30 days apart. One visit a Mo th. Did that abd it was denied. I have to do one more visit and do an appeal. Ugghh!! So frustrating because my coworker did the exact same thing and was approved. I'll just push it back a few weeks if this will get me approved. Share this post Link to post Share on other sites
NYCkindofgirl 62 Posted August 29, 2014 Insurance companies can be the worst part of any surgery. I'm sorry to hear that yours is making this more difficult. Stick with it and make that appeal! It will be worth it! Good Luck! Share this post Link to post Share on other sites
kelew39 64 Posted August 29, 2014 Insurance companies can be the worst part of any surgery. I'm sorry to hear that yours is making this more difficult. Stick with it and make that appeal! It will be worth it! Good Luck! Thanks so much! Share this post Link to post Share on other sites
Arlene G 31 Posted August 29, 2014 I simply cannot understand the rationale behind insurance companies denying weight loss surgery. The effects of morbid obesity are much worse on one's health. So, are insurance companies telling us they would rather pay for illnesses we get for morbid obesity? Someone enlighten me. Share this post Link to post Share on other sites
BitterSweet* 835 Posted August 30, 2014 @ Arlene G, no, they would rather you pay for it. Employers get kick-backs / subsidies from the federal govt for the portion of health care they pay to insurance companies on your (and all insured people) behalf. So, the cost to insure you is not bad, but what they charge you for health care is astronomical. The point is to make money and sick people make them money, healthy people do not. Share this post Link to post Share on other sites
Blue Sky 89 Posted August 30, 2014 So I was denied because Aetna said I didn't do my 90 day supervised visit. I was off by 26 days. I was told in the beginning that I only had to do 3 visits, 30 days apart. One visit a Mo th. Did that abd it was denied. I have to do one more visit and do an appeal. Ugghh!! So frustrating because my coworker did the exact same thing and was approved. I'll just push it back a few weeks if this will get me approved. I was denied today 2. I am going to appeal also. I don't even know what to say. I will just finish the process and see. Wishing the best for u also. Share this post Link to post Share on other sites
kelew39 64 Posted August 30, 2014 I was denied today 2. I am going to appeal also. I don't even know what to say. I will just finish the process and see. Wishing the best for u also.Same to you. I can only trust that this will work. Share this post Link to post Share on other sites
Bigdogdad 17 Posted September 5, 2014 My wife and I were denied yesterday because of a SNAFU with BCBS contract number???? Hopefully they can get it all straightend out before to long. Share this post Link to post Share on other sites
Blue Sky 89 Posted September 5, 2014 Sorry about that Bigdog. Hope the best for u and your wife.. That it's a short turnaround. Share this post Link to post Share on other sites
Bigdogdad 17 Posted September 5, 2014 Best of luck on your appeal also. You'd think they would want us to be a healthy weight, save them money in the long run. Share this post Link to post Share on other sites
Blue Sky 89 Posted September 5, 2014 Thanks Bigdog These folks have their way of trying to discourage you out of it. Right now I'm just going thru the motions... I guess I was naive to think that those who could help. - that I am essentially paying to help - would be fighting against me! Share this post Link to post Share on other sites
kelew39 64 Posted September 5, 2014 Update!!!! I got approved!! Thank God I didn't have to wait forever. The paperwork was sent in yesterday and my coordinator followed up and did a peer to per with the doctor. @0 minutes after her call, they called back with aproval number. So excited to get this next step going. Thanks for all of your prayers. Share this post Link to post Share on other sites