vandernoordh 63 Posted July 9, 2016 My sleep apnea was diagnosed after I was denied the first time for not having a comorbidity. We resubmitted this past Wednesday. (crossing fingers) I am just wondering if they will count my 6 months of weight loss because now it is older than two years. Do they go back to the initial date you filed, or use the date you filed appealed as the two year mark? If nothing else in 2 months I will have another 6 months of physician monitored dieting under my belt, just hoping it will work for the initial date filled. Thanks for any input! Share this post Link to post Share on other sites
Mysticpink74 50 Posted July 9, 2016 My sleep apnea was diagnosed after I was denied the first time for not having a comorbidity. We resubmitted this past Wednesday. (crossing fingers) I am just wondering if they will count my 6 months of weight loss because now it is older than two years. Do they go back to the initial date you filed, or use the date you filed appealed as the two year mark? If nothing else in 2 months I will have another 6 months of physician monitored dieting under my belt, just hoping it will work for the initial date filled. Thanks for any input! I'm pretty sure it's 3years? Cld be wrong but I think it's within 3 years for dieting??? Good luck & let us know! Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
vandernoordh 63 Posted July 9, 2016 My insurance plan states two, but I just hope bc it's an appeal that they are able to the 6months of dieting. If it were a whole new preauth for surgery I would understand if they didn't, but it's just an appeal. Hoping it counts! Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
Mysticpink74 50 Posted July 10, 2016 But as you sd...2 more mo & you'll have that 6mo in...right?! That's what I understood anyway... I was thoroughly disappointed when I thought my 6mo was in & found out a snag & had to put 3 extra mo in....but had my last visit on Friday....everything gets submitted this week & it flew by,,,BUT...they can't give me a surgery date soon enough!!! Lol! That's what I can't wait for! Just a date! & I'll be happy to do countdown.... but glad to know you didn't give up!! Some peeps would have by now.... Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
vandernoordh 63 Posted July 10, 2016 Yes, if it doesn't count 2 more months and it'll be 6 months that I've been on a supervised diet. Good luck! Mine was submitted this past Thursday and same for me...no date till approved. Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
MemphisWLS 58 Posted July 10, 2016 I have Aetna and its within 2 years!!! Good luck. Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
achappex3 346 Posted July 11, 2016 Have you tried calling them and asking? I also have UHC and was told to call and they'll make it priority Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
vandernoordh 63 Posted July 11, 2016 I'm calling today to ask. I'm scared lol I don't want it to be denied again. Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
vandernoordh 63 Posted July 11, 2016 It was approved! I wanted to cry when she told me. Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
achappex3 346 Posted July 11, 2016 Yay!! Congrats!! 3 more months and I'll be right there with you! Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
vandernoordh 63 Posted July 11, 2016 Yay! I've been waiting 3 months for this crazy approval! Sent from my iPhone using the BariatricPal App It'll fly by Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
Marissa.Ann.C 21 Posted August 31, 2016 as sad as i am to say this it seems like they would deny because of the time frame of the supervised diet. id just wait and resubmit again after you finish the new diet in 2 months Share this post Link to post Share on other sites
