Denied by BCBSAL

[EJustice 42]

Got denied for the Sleeve for not having 36 months of height and weight. Submitted photos as evidence, hoping it’s good enough. I’ve had BMI >40 for over 20 years, trying my hardest to change. So frustrating, hoping it gets cleared up.

[notmyname 593]

Sorry to hear about that. Do you have other doctors that have taken your weight? If so, can they send the records to your surgeon?

[EJustice 42]

No medical records, who knew being in good health(other than my weight) would be a bad thing!

[jaytissle55 180]

That is terrible!!! Don't let this denial be the end see what u need to do to make it happen!!! File an appeal based on current BMI and dangers...

[EJustice 42]

I’m going to appeal to I get a yes! Thanks for the encouragement!

[Frustr8 7,886]

Yeah they THINK it is their money, but dog-gone it, it is YOUR LIFE you are talking about. You deserve a quick favorable decision and I , for one, hope it goes your way on appeal!

[EJustice 42]

Thanks so much! The “wait” is on so the “weight” can come off! Sorry, trying to stay optimistic!

[Walter Lindstrom 42]

Sorry to say that BCBS AL truly is one of the most backward companies we deal with. Check out Horror Story #2

PLEASE be careful about just sending pics or random records hoping it will show them what you've been dealing with for way longer than 3 years because I promise you they really aren't interested and you need to be VERY CAREFUL about appealing on your own because they have quite a limited process - you want to make sure you take your best shot. If you want some guidance and suggestions which may help, please feel free to give us a call. You might find it helpful.

[Jendkopp 62]

lindstrom obesity advocacy helped me. they are experts in WLS appeals - you should give them a call. they give you a free consult. www.wlsappeals.com