I Need Advice and Support!! :(

[unaguy05 5]

I have been going through the process and on my way to getting Lap-Band surgury done. I have been so excited at the fact that my life is going to finally change around, and for the good (weight wise). I wanted to do something about my weight before it got completely out of hand and was forced to make a critcal change in my life style. Well today I heard from my insurance specialist and she had told me that i was denied on my insurance! This was a big shocker because the whole time the mood was, when it was going to go through... not if it will. My BMI is 40.5 and i am 300 lbs. This ,i think, more than qulifies me for the surgury.. at least from what i have read and told. My insurance said that since i had no health related problems due to my weight that they would not approve it Luckly my insurance specialist said that she was going to appeal it and to contact her tomorrow.. I am hoping that this will work and i that i will be lucky enough to have this done,because if not, i dont think that i will be able to pay for such a procedure. So if everyone would keep me in there thoughts and wish me luck it would be great because I think i am going to need it! Thank you all and please comment!

[Maya314 0]

I have been going through the process and on my way to getting Lap-Band surgury done. I have been so excited at the fact that my life is going to finally change around, and for the good (weight wise). I wanted to do something about my weight before it got completely out of hand and was forced to make a critcal change in my life style. Well today I heard from my insurance specialist and she had told me that i was denied on my insurance! This was a big shocker because the whole time the mood was, when it was going to go through... not if it will. My BMI is 40.5 and i am 300 lbs. This ,i think, more than qulifies me for the surgury.. at least from what i have read and told. My insurance said that since i had no health related problems due to my weight that they would not approve it Luckly my insurance specialist said that she was going to appeal it and to contact her tomorrow.. I am hoping that this will work and i that i will be lucky enough to have this done,because if not, i dont think that i will be able to pay for such a procedure. So if everyone would keep me in there thoughts and wish me luck it would be great because I think i am going to need it! Thank you all and please comment!

Do you have any weight related problems like knee or back pain? Do you snore at night? maybe you have sleep apnea? Do you have heartburn? Have you had any blood work? You might have some problems that you're not thinking about, When was the last time you went to a Dr? What was the reason?

Think really hard, Documentation is key, usually what they need is a few years worth of medical records that show what your weight was and any problems that you might have had that can be considered weight related.

I'd be more than happy to help (I work in a Dr's office and am familiar with the documentation needed.. as are most of us in here)

Good Luck!!

[unaguy05 5]

Well my knees pop alot when i first get up and far as anything else i am not really for sure...The last time i have been to the doctor was last year for a sist on my lip and before that i havent been to the doctor since 1992 for getting my tonsles out. As far as that i have really had anything else wrong with my. I have been overweight for most of my life and have made attempts to lose weight and it just always come back. But think you for your input!

[unaguy05 5]

Hey Everybody.... I wanted to give everyone a update on my lap-band progress. As yall know i have been denined for the Lap-Band because i dont have any health realted problems due to my weight. Well after that i went to see my doctor in my home town, he gave me a physical and i got some blood work done because that was the next course of action. Well the blood work came back and i am healthy as i can be! Witch is good news. The only thing that was a little out of wack was my Gluclose levels after 2 hours. So my doctor has wrote up a letter of approval documenting that and also my family health history. Today my insurance specialist sent it off to Tricare and I hope that this will be enough to get the surgery because if insurance wont pay for it then it is out ... So everyone please wish me the best of luck!!!

[jfran 0]

I got denied the first time. I appealed and included a gut wrenching personal letter that I wrote about my experience with my weight and how it affected every facet of my life. I finally got approved. You may want to try writing them a letter. Good luck!