BCBS of MN DENIED HELP!!!!

[NDgirl 0]

I am 36 years old, prediabetic (and gestational diabetes) high cholesterol, high BP and stess incont. My BMI is 36. I got a letter today saying I have been denied. HELP!!! I need some sound advice and encouragement!!!!!!

[RestlessMonkey 7]

You need to find out WHY you were denied and then address those points. It's often just a paperwork snafu; most of them are infamous for quibbling over dotted i's and crossed t's when it comes to lap band surgery.

[NDgirl 0]

BCBS said that lap band was not medicaly nessasary for me.

[RestlessMonkey 7]

Then you need to find out what they consider "medically necessary" and prove that your are. Your experienced surgeon should be able to help you; I have different ins. but my surgeon has an employee who just handles insurance for us! See if your doc can help.

[NDgirl 0]

I apprecaite the advice. BCBS has not seen the last of me!!!

[RestlessMonkey 7]

Good; don't give up if you want the procedure. It should be illegal how some insurance companies drag their feet and "never get" files etc!

[bobbiezhere 0]

Yes, it sounds like with your symptoms you should qualify! Mine denied me at first, but only because i had to go through other steps (nutrition classes ) FIRST....before they would approve the lapband...just cuz they say "no" - doesnt mean its over---ask questions, get your doctor involved too! Good luck!