Uggh, insurance approval problem

[kaydo 63]

My surgeon just called. Apparently my health insurance (Harvard Pilgrim) changed their approval form earlier this year, and I'm at risk of being denied because my BMI isn't high enough and don't have diabetes, sleep apnea, etc. He says there used to be a checkbox for "other" where they would put the weight-related conditions I have (asthma, reflux, and high cholesterol) but that checkbox is gone on the new form. He's going to submit my paperwork anyway, but says I may be denied at first, and then he'll have to call them and make my case to a medical reviewer. He said not to get too nervous, and that they had to do this for another patient (with a different insurance company though) and they did get the approval, but ugh. Just UGH.

Has anyone been through something like this? (With Harvard Pilgrim, especially?) Thanks.

[Creekimp13 5,841]

Sorry Kaydo, that sucks. Will cross my fingers for you that everything gets straightened out and goes through.

[angyplus5 470]

keeping my fingers crossed for you!!!

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