Feeling Angry

[sweitzer2148 19]

Hi all, Well I've been on this journey since July 5th and I have completed all of the required classes and tests needed for surgery. After waiting 5 weeks for my insurance approval I get a call from my surgeons office that my insurance has denied me because I didn't complete the 6 month supervised weight loss. Now this is upsetting because my insurance provider informed my surgeon in July that I wasn't required to complete this. Now they are saying I do. Ugh! Do I have a case to argue? I could of had 3 months down already if they would of said this in the beginning.

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[Bufflehead 6,358]

Usually what matters is what is in writing. You need to get actual documents from the insurance company that spell out their policies on bariatric surgery. This may be a member benefit handbook or a separate policy statement.

[shellyd88 463]

I agree check what your policy states in writing as to the requirements if you have been attending weight loss surgery seminars with a dr office and been going thru a program with weigh ins etc they have evidence from that dr try to argue that get your proof documents etc and appeal if you have to they want to make you give up they don't have to pay then good luck