Approved with and exclusion

[ccinlv 2]

Hello, I have California Field Ironworkers insurance and they have an exclusion on weight loss surgery, they told my surgeons office that there was an exclusion for weight loss surgery and there was a 95% denial on the procedure. The surgeons staff basically said well, when you are ready to pay cash, call us. Well lets make a very long story short, I took matters into my own hands, kept calling the insurance company until I found someone there who was willing to tell me the requirements, gathered all the required medical records (200 plus pages) myself which took months, made an appointment with the surgeon told him the whole story, he took my huge folder of records and told his office to submit it, and I was approved in 5 days !!! Had my surgery on 8/19/2008 feeling great. Good luck everyone, and don't give up because the office staff said there was and exclusion, do your own leg work if necessary and MAKE them submit it.

[lifeisgood 0]

Im very happy to hear that. Congrats, I hate just the waiting process. According to my insurance my surgeons office hasnt submitted anything...im hoping theyre wrong.

[RestlessMonkey 7]

Wow! It was a lot of work but how much did you save yourself? 15K at least? Pretty good wages for the time you spent! Way to go!

[Losing 2 0]

Congrats to you & thank you for sharing this info. It will certainly help many of us.

[*slim* 2]

Way to go! Congrats on your journey to a new and improved you!