Denied Again

[TwinMom2020 14]

Hi all,

I was denied the first time because I gained a few pounds on the three-month supervised diet. I was/am a lightweight and I didn't want to drop below the 35 BMI. So they had me lose the weight I lost and they reapplied.

Now I have been denied again. The language used is "The documentation does not support that you have fully committed to the medically supervised weight loss program that includes dietary and behavioral changes as well as exercise." I don't understand as I completed all that was asked of me in the nutrition sessions.

Has this happened to anyone? Were you ever finally approved? My dietician is writing a letter for me explaining that I have been committed and have made the changes. Then they will reapply. I am just a little bummed out by all this.

Thanks for any input!

[lizonaplane 1,613]

I'm so sorry this happened to you. Insurance companies are the worst! I hope your appeal is successful.

[james2021 160]

That's such a bummer, I'm sorry. I'm worried about this happening to me, too -- my coordinator warned sometimes they won't approve for "non-compliance." Dumb. Hopefully the letter will do the trick, don't lose hope!

[lizonaplane 1,613]

Just curious, did they ask for food logs or anything? Would that be helpful? So hard that you can't lose weight because your BMI is already on the low end.

[TwinMom2020 14]

Yes, I had food logs, Protein counting logs, exercise logs, tons of things that I had to do from my nutritionist. Hopefully their letter will work.

[TwinMom2020 14]

I got approved!! Now I'm nervous...

[KariLinn 0]

On 4/21/2021 at 9:11 AM, TwinMom2020 said:

I got approved!! Now I'm nervous...

How did you get approved?