nikkiluv

Thanks for all the help!! I am anxiously awaiting to go to the first seminar. My insurance company recently implimented some new guidelines that do not have a "criteria"" to meet. Its all case by case now. When I called the insurance company they told me that they just put this in place within the last 2 months. I am unsure if they require a personal letter but if they do I will be sure to take all of this advice and add it. The addition of how this will benefit my life, prevent future obesity related diseases and should be used as a tool are all very powerful things to include. I was wondering if I should also include that my husband has only been on the job for 6 years and we have a long time with this policy should be included. I assume if they are aware that it would make them benefit in the long run by not having to pay for other obesity related issues it would sway them. I also feel like because my BMI is only 39 that gaining the 8-10 pounds to make it a 40 BMI would not be beneficial.I am hoping not to have to fight it. Thanks again!

Has anyone ever included their own letter to the appeals dept of thier insurace company? What information did you include? Did it help? I am going to my first seminar on 5/10. I haven't been denied yet but I am anticipating it due to my BMI being 39 with only 1 comorbidity. My particular insurance carrier (united healthcare) has recently changed thier policy to be "case by case' rather than having strict criteria. Just wanted to know what to prepare for.

I have united healthcare and a few months ago i called and I had to meet requirements such as bmi of 40. When I called again they said those requirements are no longer in place but based on case by case and documentation. Anyone had any experience with this? Any insight into whai I can expect? I have first surgeon consulation on May 10th. Any info would be greatly appreciated.