arends1

Happy Halloween Everyone! This candy is going to look a little too good! :thumbup: Oh well! I will get through it. Have a great time tomorrow!

Congratulations! I was banded on July 21 and have so far been successful. I have not had any complications. Surgery is scary but you will do fine. I would like to journey together through this.

Just received word from my insurance that my denial was overturned through my appeal. YAHOO!!!! I can not wait to start this journey to a healthier skinnier ME!

Denise, I found your post very helpful and it seems that after you appealed you must have been approved. So, I am hoping this works. If not I will try again in 2011 time goes by fast anyways and it will not be long till its here. Thank you, Selina

Hi, Sorry to hear about your 2nd denial. I totally understand your frustration. I also have been denied twice. I am now starting the appeals process. I was told to have your dr.'s and family members write letters in regards to your health and weight. My BMI dipped to 38 in 2007 then I became pregnant and they are using that against me its very frustrating. Let me know how it goes.

Hi kerri76, I am going through the same as you I have been denied twice. And now am starting the appeal process. If you go to www.lapband.com and search appeal letter they have a really good one also. I also like the one below from sweetsagi. I have bcbs of iowa. Did they say what the reasoning was on your denial? Mine was part of the 3 years I was pregnant and the right before my BMI was 38. I now have BMI of 45 and have hypertenion and high cholesterol. Let me know how it goes.

My insurance does cover this. You have to have a BMI over 40 for 3 years or have BMI 35 + with a co-morbid problems such as sleep apnea, diabetes, hypertension, high cholestrol, etc. I have a BMI of 45 and i have hypertension and i was just put on medication for this and I also have high cholestrol which they tried to put me on medication for this and i have refused this. The insurance denied me saying that it does not list my BMI has been over 40 for 3 years. 4 months out of 2007 I was pregnant and before that I was borderline 40 BMI but I also had diabetes.

Help!!!!! I have been denied twice by my insurance. My mom was approved right away and she weighs less than I do. I have hypertension and high choesterol. My BMI is 45 and has been for 3 years. Anyone been through this with insurance. What should I do next? :confused:

Hi, I wish you luck on this keep me informed on what they say! I have had weight issues the last 3 years and now having problems with high blood pressure and high choelesterol. And my insurance BCBS of IA denied me. The more information you have in your medical records the better.

I have been fighting with my insurance for almost a year trying to get insurance to approve the LAP-BAND®. Was just denied for the 2nd time today! EHHHHHH I am so frustrated and I do not know what to do???? Any suggestions? :thumbup:

I have been fighting with my insurance for almost a year trying to get insurance to approve the LAP-BAND®. Was just denied for the 2nd time today! EHHHHHH I am so frustrated and I do not know what to do???? Any suggestions? :thumbup:

You are not alone! I am also awaiting the approval part of this and only my mom and husband know about that. I don't think I will end up telling many people about it either.

Hi! I am waiting on prior approval from my insurance. This is my 2nd attempt I was denied the 1st time which was 6 months ago. I have seen the surgeon and have done everything that I am suppose to so everyone keep your fingers crossed. :cursing: