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shandikiss

LAP-BAND Patients
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  1. Thank y'all for the advice. I will go ahead and send in what I have. My Dr. did write that I came in to weigh and noted my pounds lost or gained, but that was it. If that's not enough and they deny me, then I'll definately appeal. I'm going to do what it takes to make BCBSIL pay. Afterall, that is why we all pay their high insurance premiums. Maybe they have forgotten that fact??? I can see that happening, being they forget what they have written in their own policies! :wink_smile:
  2. Hi everyone. I'm new to this forum and I am in dire need of advice. I have BCBSIL insurance and as many of you know, they require a 6 month diet. I did that. However... My Dr. kept telling me that it wasn't really necassary to come in every month for an actual visit, that I could just come by and weigh and he would record my weight. I explained to him about the insurance requirements and he assured me he would cover everything in my chart. ( I know, I should have stuck to my guns!) Now, I am in the process of getting my paperwork together to submit to BCBS and surprise, surprise.... my 6 month diet record..... CRAP! I do have a consecutive 8 month record, but there are 3 times when I only went by to weigh, so only my weight and lbs. lost are recorded. I honestly don't know what to do. Should I go ahead and submit my request now and fight the denial in appeal should it happen? ( I do have diabetes and a BMI of 56) or just do another 6 month diet and submit then? I have read horror stories about BCBSIL and honestly, I'm terrified! :wink_smile:

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