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My ins wants to verify my weight for the last 2 yrs..anyone else had this ?

I finally got a phone call back from the nurse! One i had been waiting for since Jan 30! I gotta admit I was a lil no alot scared to call back thinking OMG I gotta surgery date!! OMG what do I tell my job?? OMG then the what if started in.. after a few hours I called back only for her to tell me my ins whats my records for the last 2 years to check my weight...I think Ive gain 10 maybe 15 lbs idk I keep trying to not keep track! Anyways has anybody else ins ever asked for this? Idk gotta a feeling my ins isnt gonna pay ..

8 Comments

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Msa662

Gastric Sleeve Patients

Oh yeah! My insurance Aetna requires weight and blood pressure readings for the prior three years. Since I did that in 2012, I had to provide 2010, 2011 & 2012. But that really wasn't a problem for me getting those. Even though I had a different doctor back in 2010 & 2011, I just went to that doctors office and asked for a copy of my medical records with my weight and b/p recording on it .

Or even if you had any kind of E/R visit during those two years, you can use that copy also. Long as it has your weight recorded on it for that year. Good luck to ya!

smbergie200

Gastric Sleeve Patients

Oh yeah - Try 5 year documentation for my insurance to approve my weight loss surgery. Pain in the butt to track down since I dont got to doctors alot. I had to get creative to fill in the gaps. Dang Insurance companies - Who cares how fat I was 5 years ago - I AM OBESE NOW! grrrr P.S. not anymore - thank you sleeve!

atPeace55

Gastric Sleeve Patients

Yes, my insurance requested 5 yrs of showing that my BMI was over 40. So I had to go to my OBGYN and get my weigh ins for my annual for 5 yrs and also went to my Regular Dr. and got weigh ins for my annual check ups as well as just some appointments I had and took the ones that the BMI were 40 and above and presented those.

It's a process...it's insane I agree! Just hang in there.

ASKSARAH - Sleeve

Gastric Sleeve Patients

That's awful. I am sorry you have to do this. Insurance companies are like big ol bullies! That's why I went to Mexico!

Good luck with your adventure

i had to show 5 years weight history and diet history. After submitting it all i was denied. But i appealed because in one of the years, dont remember which one, they had my height wrong which made my bmi lower then 35. I sent them a snarky letter asking them if its even possible for a grown 30' something year old adult to grow 3 inches in a year and then shrink 3 inches the next year. I was approved. Took about 3 weeks for the approval but i was approved on 12/24/12 and had surgery 1/9/13.

Dont give up and send it in. This is Aetna's way of hoping you give up!

LeesaDee

Gastric Sleeve Patients

I had submit the past five years. It was no problem for me because I had gone to the gyno but the nurse I was talking to said I could have submitted pictures of myself over the years to prove that I was over weight if I didnt have doctors records. Maybe that is something you can try if you need to find a way to prove to them. I got approved for my surgery. So it's just a hoop for you to jump through!

Diane_65

Gastric Sleeve Patients

I also had to submit 5 years of documented weight loss. Just a cover page from a Dr. visit will do. I think it's pretty standard.

SqueakyWheel&Ethyl

LAP-BAND Patients

My GP submitted 15 months. My GP before him closed her practice, and he couldn't get my records. Insurance was fine with that.

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