Anyone use Amerigroup?

[Brenda Sherwood 64]

I know there is a place for insurance questions but seems theres little traffic there and not getting responses. Figured you all in here are the ones that got through surgery so maybe find what Im looking for. I have Amerigroup and got denied, dr has been going round and round with them for me and several other patients. Looks like they deny everyone. Anyone have good results? We had a tentative sate set for May 5 and I was on my preop liquid diet. Dr office told me to stop but Im still on it for the most part. Determined to be ready if these appeals go through as I have to do this by next week or not for 3 months due to work.

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[brandideremer 11]

Were you ever approved through Amerigroup?

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[bypassthatbunni 7]

I was

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[brandideremer 11]

Was it a difficult process?

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[bypassthatbunni 7]

No, I had to do 6 months of nutrition classes and weigh ins. They approved 1 week after submitting my paperwork.

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[brandideremer 11]

Awesome! I'm going to a seminar on the 18th and I hope my journey goes smoothly with them.

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[scarlep 68]

I was approved by amerigroup, I was sleeved 11/19/15, and The insurance required 6 months nutritional classes, and yea I was approve within a week

[brandideremer 11]

This calms my nerves seeing you guys had your approvals so fast. I hope the same goes for me.

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[Brenda Sherwood 64]

Im still fighting for it. Originally submitted first week of may. Denied due to no severe comorbidities. Dr has put me on meds for blood pressure and cholesterol now so hoping they approve now.

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[sassy_ tiffany 2]

Did any one of gain weight during 6 months pre op and get approve im so stress i gained 8 pounds

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[Brenda Sherwood 64]

I just got denied for a second time. Planning my Mexico trip now but no, I lost 30 then gained 8 back. So down 22 from start. Medicaid makes it very difficult to get approved

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[brandideremer 11]

My surgeon has told me not to gain but never gave me an amount to lose. He just said the insurance doesn't want a big gain. It may very state to state though.

Brenda what was their reason for denying you?

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[Brenda Sherwood 64]

My surgeon has told me not to gain but never gave me an amount to lose. He just said the insurance doesn't want a big gain. It may very state to state though.

Brenda what was their reason for denying you?

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The denied me do to no disabling condintion, which is like a serious comorbidity. The require that regardless of bmi. I have been put on meds for high blood pressure, high cholesterol and am pre diabetic but thats not enough fir them. Got denied, did a peer to peer, resubmitted, denied again and dr just did 2nd peer to peer yesterday. Medicaid is very strict. You should be ok if you have diabetes and a high bmi

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[dede_mont 105]

I use amerigroup and got approved in only a few days. I had to get letters from all my docs. Back surgeon, pain management doc, pcp, neurologic doc, shrink.

If you have any of those get them to write letters saying they believe you need the surgery.

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[Brenda Sherwood 64]

Edited September 3, 2016 by Brenda Sherwood