itsme630

Does WW count or must I go to my DRs. office? Has anyone had experience with this? Thanks....

That is my plan I agree with you it could be a requirement for the next insurance co. also....

All my paperwork was submitted to my ins. co. for pre-approval. I supposedly only needed a BMI over 35 with a co-morbidity which I have. I got my denial back from Horizon BC/BS of NJ and they want me to do 6 months of supervised doctor dieting which i haven't done. Conveniently my employer is switching ins. co. Jan. 1 08' so I won't have the time. I'm bummed out but will try in Jan. with the new ins.co. :angry

My PCP did write the letter and explained I am on 2 BP meds. I don't get it. I am waiting for another phone call back from the Barix Clinic to explain why what they told me I needed isn't correct:(:car:

I went to the Barix Clinic in 5/07 to start the process for lap-band surgery. Went to a seminar at the center and was told by them in person and via a form letter what my ins. required for surgery. Had my psych. eval., dietary eval. and my PCP submitted a letter. Now they are telling me I need my PCP to write a letter stating I've had a BMI over 40 for the last 5 years. I know they won't do it as my BMI is not over that now nor was it when I went to the seminar. I was told in person and in writing that <40 with a co-morbidity was what I needed. Why if they knew from the get go I wouldn't qualify did they have me even strt this process? I am so disgusted and depressed over this. I have BCBS NJ Plus insurance. Does anyone have experience with them?

It's good to hear you were pleased with them. I'm waiting for approval from my primary Doc. I've had the psych and dietary approvals but when I went to my Doc. appt. my BP was higher than he wanted it to be. He put me on a new med. and said as long as it's down when I go back on Aug. 30th he'll give me the approval. As we all know high BP is a co-morbidity but I'm at his mercy. He wanted me to go to a seminar on Gastric Bypass as he's had alot of patients with success by going that route but I told him I know it's not an option for me. I'm crossing my fingers my BP is down so the authorization process with my insurance can start.

<p>Has anyone been operated on by any of the Drs. here? If so which one and are you happy with them? Thanks...Sue</p>

I have my psych. today and then my paperwork should be submitted. I like you am anxious to get the answer and hope it's yes. I have Horizon BC/BS of NJ and hear they are quick repliers also...