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Defeated

MandiBeth

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MandiBeth    2

MandiBeth
Posted

So I finally got health insurance back in December, called and asked them if gastric was covered (before i picked this plan) it was not UNLESS medically necessary...so I went through 6 months of doctor visits, another month of the dietician, physiologist and surgeon appointments...everyone approved me and deemed it was medically necessary...so the day finally arrived to schedule surgery and send in the final paperwork to my insurance...insurance calls me and tells me I am denied because they won't cover it, said I was given the wrong information...so not only did I waste my time and money now I'm just stuck....defeated...sick of myself...

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jess9395    5,449

jess9395
Posted

Can you get a copy of your plan and read for yourself if it is a specific exclusion or covered if medically necessary?

If it's covered when medically necessary you can appeal their decision.


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Go To Topic Listing Gastric Bypass Surgery Forums

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      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
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      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
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      1. NickelChip

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      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

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