_Brooke_ 45 Posted August 24, 2015 omg! I can not believe my insurance company! They denied me stating there is not sufficient medical records showing I have been overweight for 3 years. Seriously??? I mean seriously. ugh. Okay, my rant is over... I will definitely be resubmitting and jumping through their hoops. Share this post Link to post Share on other sites
funkecoldmedina 49 Posted August 24, 2015 I am so sorry! I am very excited that you are not giving up and will continue towards a better life. You can do this! Best of luck to you Share this post Link to post Share on other sites
chasingchloee 58 Posted August 24, 2015 Oh no!! I'm still waiting on my insurance approval. I'm so nervous. What insurance do you have? Share this post Link to post Share on other sites
_Brooke_ 45 Posted August 24, 2015 Oh no!! I'm still waiting on my insurance approval. I'm so nervous. What insurance do you have? I have BC/BS of AL... hopefully I can get this fixed and get approved. Share this post Link to post Share on other sites
chasingchloee 58 Posted August 24, 2015 Good luck!! Hope they can fix it fast for you! Share this post Link to post Share on other sites
Dream4tc 192 Posted August 30, 2015 I hear the Lindstrom patient advocacy group helps with appeals. http://wlsappeals.com/ Share this post Link to post Share on other sites
LadyReyven 25 Posted August 30, 2015 I am so sorry! I totally understand the frustration and how devastating it feels to be denied. About 7 years ago I had went through the whole program just to be denied 3 days before my surgery! Keep trying though and don't give up! I did give up for several years and went back to trying to lose weight on my own. This past January I deceided to try for surgery again (with a different insurance company). I made sure I was meticulous about playing by all of there rules. This past Friday I received final approval for my Sept 15th surgery! So don't give up! Find out exactly what they want from you, what kind of documentation they want, etc. and appeal, appeal, appeal! In the mean time, keep looking for support for your friends on here! We're here for you! Good luck! Share this post Link to post Share on other sites
Lose2BFree 3 Posted August 30, 2015 I'm sorry. I've been overweight for 34 years and my insurance said flat out NO. So I'm paying out of pocket. $26,000. But I'm tired of being obese and I'm worth it. I, too, and extremely frustrated that my insurance wouldn't cover it. To add insult to injury, I was going to gastric sleeve, but after being scoped last week, I was told that my hiatal heria was so big/bad that I'd have horrific acid reflux--worse than I have now--if I went with the sleeve. So my costs jumped from $23,500 to $26,000. That extra $2500 isn't in my budget but I'm going to put it on my AMEX and just make payments to pay it off. I absolutely have to do something about my weight. Share this post Link to post Share on other sites
Awjones28 320 Posted August 30, 2015 omg! I can not believe my insurance company! They denied me stating there is not sufficient medical records showing I have been overweight for 3 years. Seriously??? I mean seriously. ugh. Okay, my rant is over... I will definitely be resubmitting and jumping through their hoops. Mine said that too , and guess what: we forgot to submit my weight from 2014... Duh!!! Re submit with last years weight and viola!! Just make sure your doc submitted every single thing. Share this post Link to post Share on other sites
newmebithebypass 713 Posted September 4, 2015 im so sorry this is happening to you. just call your insurance and get in writing everything you need Share this post Link to post Share on other sites
_Brooke_ 45 Posted September 4, 2015 *Update** So my surgeon's office called insurance and found out they accidentally left out a year of my charts showing that I was overweight. So now they have resubmitted and hopefully I will have good news here soon! Keeping my fingers crossed. Share this post Link to post Share on other sites
Awjones28 320 Posted September 5, 2015 *Update** So my surgeon's office called insurance and found out they accidentally left out a year of my charts showing that I was overweight. So now they have resubmitted and hopefully I will have good news here soon! Keeping my fingers crossed. That's it!! Yea! You're on your way to the big fat APPROVED! Share this post Link to post Share on other sites