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Staceybug

Gastric Sleeve Patients
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Everything posted by Staceybug

  1. Staceybug

    Medicaid denied me

    I researched a head of time. I know the requirements. Double checked with insurance and with surgeon. Finally completed the 6 month weigh ins as a monitored weight loss program with the primary care. Completed numerous tests and had a tentative surgery date scheduled then I got the call from my surgeons office saying they received a denial. Luckily the team is on top of things and called the insurance to ask why. They were told it was not deemed medically necessary. Even though they provided a letter stating it was. So I called my insurance and was told I was denied because I had no proof of excersize. I submitted the forms signed monthly by my dr with notes that included weights and calorie diet etc.... so I told my dr office that all I had was a fitness diary I kept, my dr advised me to do this in se months ago. So I'm wondering if anyone else has fad to go through anything like this and have they had better luck with the second submission? I'll be dropping off my journal at my surgeons office. They said they would fax copies and add another letter expressing how it is medically necessary. Fingers crossed...

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