I'm from NJ and have AmeriHeath PPO … my doc said that according to my BMI of 36 and the fact that I have been on Glucophage w/ a diagnosis of PCOS for nearly 10 years, that I am a good candidate for Lap Band. I have met w/ the nutritionalist and have 2 1/2 months to go before I meet the 3 month requirement by AmeriHealth. In that time, I am also scheduled to see the Dietitian two more times, have an upper GI, see a therapist, attend a support group meeting, and meet w/ a cardiologist … all for clearance and validation of attendance. Whew!! LOL!
Soooo my question is this … after I go through all of this, can insurance deny me?? I know my BMI and medical condition just inches me over the 'what qualifies you' mark … my fear is that in the end I won't get approved by the insurance, even though the doc gave me the thumbs up.
Hi everyone!
I'm from NJ and have AmeriHeath PPO … my doc said that according to my BMI of 36 and the fact that I have been on Glucophage w/ a diagnosis of PCOS for nearly 10 years, that I am a good candidate for Lap Band. I have met w/ the nutritionalist and have 2 1/2 months to go before I meet the 3 month requirement by AmeriHealth. In that time, I am also scheduled to see the Dietitian two more times, have an upper GI, see a therapist, attend a support group meeting, and meet w/ a cardiologist … all for clearance and validation of attendance. Whew!! LOL!
Soooo my question is this … after I go through all of this, can insurance deny me?? I know my BMI and medical condition just inches me over the 'what qualifies you' mark … my fear is that in the end I won't get approved by the insurance, even though the doc gave me the thumbs up.
I'd love your feedback on this!!!
Thanks!!!!