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

First Denial



Recommended Posts

Well today I got my first denial - I am very upset about it. I started this process in January, the paperwork was turned in on April 11. I called Friday (June 1) and it wasn't even in the system yet.

I talked to the place where I am having it done and they said at least I now have a blueprint of what I need. One thing they require is a trial of a behavior modification program - anyone heard of that?

Oh well, I will try to keep my chin up and see if I will have the surgury this year.

Share this post


Link to post
Share on other sites

What insurance do you have? Who told you it was denied?? I have never heard of a behavior modification program.. I have heard of a diet, exercise and behavior modification program.. Something sounds wierd here to me.. there must be some more specific reason you were denied.

Share this post


Link to post
Share on other sites

My insurance is great west - the letter from the insurance company i lacked the following: weight loss ; diet program for at least 6 mths within 2 yrs, monthly clinical from healthcare professional, trial of a behavior modification program, psychologial eval for this type of surgery, endocrine eval for obesity & post operative follow0up plan monthly for 6 months. I did have a psychologial eval for this so don't know what that is about.

Share this post


Link to post
Share on other sites

I am making monthly visits to the doctor so they can weight me. I have been 3 times so have 3 months to go. If you have great west, make sure that your request has been entered into the system. One of the problems I had was it sat there for like 3 months, I had to call for them to find it to enter the request into the system.

Share this post


Link to post
Share on other sites

Are you having your surgery locally or are you looking into going to Mexico? I think if I get denied by great west I'll be saying "Si" to Mexico.

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

  • 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

    ×