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Any luck with Peer to Peer evaluation?



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I just got denied because they are not accepting my BMI of 37 with my illnesses because they don't fall into their list of approved comorbits. I have fibromyalgia, osteoarthritis, Sjogren's Syndrome, Relapsing Polychondritis, gastroparesis, and degenerative disk disease. But because I don't have high blood pressure or diabetes, I'm not "sick" enough.

My doctor is going to do a peer to peer. I'm just wondering if there's ANY chance of getting approved?

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Sorry to hear. I'm in the same boat, bmi 37.5. Waiting to hear from the surgeon about what to do

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Different set of circumstances, but my Dr had to do a peer to peer after my denial, and it went great. Once he was able to speak with and explain the Doctor at the insurance company it was approved and I got my surgery date scheduled within 3 weeks of that phone conversation. Good luck to you. I remember how stressful the waiting is. Hang in there!

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