gnortenjones 0 Posted August 5, 2009 Just got a call from the surgeons office. After being denied by the insurance company, and appealing it, my surgery is back on for August 31st!!! When I was first denied, and the surgery cancelled, I had essentially begged them to put me back on the schedule while I sorted things out with the insurance comany who had obviously made a mistake. It's a good thing I did that because the next opening in the schedule would have been mid October. Share this post Link to post Share on other sites
amyrenteria 0 Posted August 5, 2009 Why were you denied the first time? I go for my last nutrition consult on Aug 10th and after that they will submit it to my insurance. I am so scared they will not approve me because my BMI is right at 39%:tongue2: Share this post Link to post Share on other sites
gnortenjones 0 Posted August 5, 2009 Why were you denied the first time? I go for my last nutrition consult on Aug 10th and after that they will submit it to my insurance. I am so scared they will not approve me because my BMI is right at 39%:tongue2: The insurance company somehow got it in their head that I have severe liver disease (which I don't). I do have a mild case of fatty liver disease, which they specifically mention in their policy as not disqualifying someone from the procedure, so I think someone saw the words "liver disease" and automatically red-stamped it without looking any further. I think what annoyed me the most was that this was such a stupid screw up on their part. I almost think they knew it was a screw up, but denied it anyhow in the hopes that I wouldn't appeal it, and they wouldn't have to pay. I was nervous about the BMI thing also. I had actually counted how much weight I could lose to meet the 5% requirement, but still be above the BMI requirements. Was your BMI of 39 when you first saw the nutritionist, or after you have been on their diet for a while? My insurance/doctor started counting when I first saw them not at the end. Also, if you have any co-morbities, high blood pressure or diabetes for example, the BMI requirement was less, so you might want to check into that if your nervous. Share this post Link to post Share on other sites
