Discouraging news... can someone help me with understanding this?


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Hello everyone. I had my request for surgery sent into bcbs last Tuesday after all of my pre op testing was complete. Today I received this message from my case manager. I tried to call to make sense of it all and basically am reading it as I have to wait another year for surgery. (WTF). How do I go about this message, I called up there and my case manager was busy. Now it's after 5 and I'm unsure how to somehow get my insurance to accept my request. SIDE NOTE: I actually do have a year worth of weight loss attempt consecutively since February of last year as written down for them to know. I just don't know how I can get my physician to document it... or idk if I have to do this for another year simply Bc I was not aware that I had to have 12 months of that documented with a physician or else I would have been seeing one.

If anyone can tell me their story or help me understand how to go about this, that will be much appreciated. Xoxo

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All I know is my primary DR. Had to write a letter recommending this surgery would be good for me based on my medical problems. He knew I tried many attempts to lose Weight but failed. This letter was also given to surgeon. I had also joined a gym.
I did everything and still had to get approval before surgery. They still had to review.
everything. They required I do 7 month program.



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One of the first steps that my insurance required was that my PCP write a letter of support and submit it to my surgeon (weight loss program). My program gave me a sample letter to give to my PCP which indicated what the letter needed to address. Once the weight loss program received the letter the ball started rolling.

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