Insurance denied me :/

[wascott 395]

Sorry to hear that.

My insurance doesn't cover WLS of any kind so I'm self-pay.

[JPF1961 7]

So I also have united healthcare california PPO . They denied me too so I self paid and was sleeved 4/30.

Any chance I could get them to reimburse me. I think in actuality they should have covered me. I was 43 BMI, HBP, sleep apnea, CPAp user since '06. Fought weight whole life. Age 53 .

On the good side, very easy time so far. Still on full liquids, but getting all my Water in and 90g of Protein. Went to work 3 days after surgery. Being careful , not working full days. No gas pains, no diarrhea, no puking, foam. Oh yeah, down 20.5 lbs

[ladybrela 3]

I never got my insurance to approve, and after years...I booked in Mexico....4600 for surgery and airfare for 2. Best thing I ever did...and it's only been 2 1/2 weeks.

[ladybrela 3]

I used Dr Zavalza and Dr. Luna. awesome experience.

[Edavidson 84]

JPF1961: Find out if your State requires that insurance pay for weight loss surgery. If they do

you have a very good chance of getting your money back. I would at least give it a try.

[Metal13 2]

hang in there!..maybe there's a solution...can your doctor look for things medically to help you get approved...that's what my doctor told me she would do...i have not been approved yet but i am hopeful....is there a way you can appeal that decision with your insurance company?

Sending some Blessings......

[azziew 7]

I would not give up get the phone for whoever denied it

If you have sleep ing di s orders you should still be able to get approve

[azziew 7]

Keep going I was disapprove twice

[gymbremom 27]

I actually had an appointment with my primary care doctor today. He was actual pretty pissed I was denied. He said he would write a letter in reference to past history with diets etc and send it in to the insurance company for an appeal. He told me that if that does not work he will keep trying. My fingers are crossed.

[VSG_Hopeful 51]

I also have United HealthCare. It is their policy to deny a certain number of cases every year. Many people never appeal the decision so they save money. Typically people who appeal are approved. Don't give up.

[azziew 7]

There is only two people that do the approves for united health make these miserable

[Typhanee 0]

APPEAL IT!!! Be proactive. I had to appeal twice & I got approved.

Best of luck!!

[lisa0617 54]

There are 31 states that require wls in their polices. I do billing for a living fight fight fight they will come around. They are hoping you will give up. Find their policy online and send it in with the appeal. If you show them it is in their policy and you meet the requirements they will approve. I just went to my intro seminar and the dr said that if you have diabetes high blood pressure or sleep apnea they will approve right away (in massachusetts). United is a pain in the butt but they will reverse with documentation.

[Determined2B 0]

Don't give up. I went through such a fight with my insurance and they did the same thing. Came to find out that my employer was behind blocking me to do it. I had to fight with them when I found out and push to the highest positions via my benefits department and the insurance. They tag team to discourage patients because they don't want to pay for it. I fought with my benefits team and also have my surgery write letters to prove it and went to the benefits and fought them. Sometimes the employer changes the criterias to make there own requirements. Don't give up. I didn't and a week before my scheduled date I was approved on 4/22/15.

And I have United too!!! Be persistent and always take there id #

[missykrissy79 21]

I fluctuated from approved BMI to not and back. I was denied 3 times over a 6 year period. I finally got approved and with my new insurance I paid $1200 total! Appeal, your day will come. I will keep my fingers crossed for you!