Woohooo!

[gnortenjones 0]

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.

[Leah01 0]

Congrats!

Leah

[amyrenteria 0]

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:

[gnortenjones 0]

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.