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

Disappointed insurance denied



Recommended Posts

Appeal, I am approved I am 4'11" 225# with a BMI of 40 and no co morbs and I fought with my company also. I did a whole graph thing of future cost to them when I get diabetes and heart disease and heart surgery and ICU costs, in the end they saw the 50 thousand now was better for both of us. So appeal and get doctors and nutritionists to back you dont give up took me a year but I won surgery date next wednesday the 17th

Share this post


Link to post
Share on other sites

@@michellebutrick The appeal process has begun. Spoke with my surgeon's office, my PCP & my acid reflux doctor today. They all are getting their paper work together. I have FAITH, know that this minor setback is for a major comeback. Just praying it doesn't take me a year of appealing. My surgeon told me to keep my pre-op appt for the 18th as scheduled. Good luck to you!

Share this post


Link to post
Share on other sites

@@Mz. NuNu I'm sending you the good luck vibes!!I have the faith!

Share this post


Link to post
Share on other sites

APPEAL. PEER TO PEER. APPEAL AGAIN IF YOU HAVE TO.

Share this post


Link to post
Share on other sites

I'm inpatient and I want instant gratification. My insurance company basically told me... your fat, go on a diet, not our problem. I went to Mexico and had the surgery done for under $5k.

I'd suggest Mexico to anyone It's cheaper and they got me in quick.

Share this post


Link to post
Share on other sites

My insurance does not cover the surgery! My doctor has a hiatal hernia program where I pay $3500! Jump dead on it, so my surgery is right around the corner and I am working two jobs to cover the $3500! Check with your doctor to see if this is an option or if you are close to dallas, tx inbox me!

Share this post


Link to post
Share on other sites

@@VGB

I'm confused by your post. Can you clarify what you were trying to say? So you weren't approved for sleeve but are going to self pay or hiatal hernia repair? Is that correct?

Share this post


Link to post
Share on other sites

I apologize! I was sleepy when I posted. That is correct! My insurance approved my hiatal hernia to be repaired, so while my surgeon is in there repairing my hernia he will sleeve me as well! I will self pay $3499 for the sleeve surgery! I hope that was clearer! If not here is his information:Dr. Frenzel in Dallas,Tx. mycompletetransformation.com

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

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Yay!! Congrats. I know how good that feels. 🤩

    • Jenopolis

      Had a sleeve in 2017, lost over 100 pounds. Had a DS surgery this year (2025) for more sustainable weight loss. 🤞
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      The 14th was my day. I am home and recovery is going pretty smooth. They even let me walk out of the hospital. Picture of me in recovery curtesy of my boyfriend lol. 

      · 3 replies
      1. DaisyChainOz

        Glad it went well!! Wishing you a speedy recovery and wonderful success!! 🤗

      2. buildabetteranna

        Thank you ❤️

      3. Selina333

        Neat you have a pic of this day! I was sooo happy to get my surgery. It was well worth it! And I'm not even near my goal. I had surgery Dec. 2!

  • 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

    ×