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Insurance Denied - Appeal? How often does it get approved?

I am a little upset. On my first visit to the weight loss institute, I went in they weighed me. I was 277 and they asked my height and I told them 5'11. I was a college basketball player and always told people I was 5'11 so that was my first thought. They never measured me. As we went on with my visits I told my nurse that I was not at a 40 bmi and I didn't think my insurance was going to cover. I went on to tell them that I haven't been measure in several years...so they measured me and sure enough I was 5'9 and some. So they said they were going to put a note in with my submission to insurance....well sure enough I was denied. When I called the insitute they had no recalection of all of this, which means they put me in as 5'11. Anyway I went and got measured at my family dr. office and I was 5'9 there too. So they wrote a letter and it is being inputted in the appeal.

Has this happened to anyone? Or, has anyone got denied and then appealed and then it get approved? I am really wanting a lifestyle change and feel this is my last option!!! I feel as if I have tried everything!

Please advise!

Thanks!!!

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This exact thing happened to me....I am 5'11 as well...and when i first went in I was around 268ish..wasn't quite enough the 40bmi..i was like a 37ish. Someone accidently sent it to my insurance and of course I got denied...well my doctor basically said we could try and find some co-morbities like sleep apnea or other things to see if i could qualify with a 35 bmi or i could put on a few lbs to meet the 40. I clearly didn't have any of the co-morbities thank god so i knew my only option was to put on a few lbs. My doctor hated that I had to do that and hated suggesting it but there was no other option...So i had a re-check a month and a half or so later and i was able to meet the 40 bmi. So they just re-submitted it and I was approved! Talk with your doctor, see what they say.

When i started my research i saw that my BMI was at 39 and that because i didn't have any other health issues i know i would be denied.

So i purposely gained 10lbs to reach the 40 bmi. I got it to 40.8 I figured if i have to gain 10 to lose.... then that's what i'll do. My weight was 213, got it to 223.... approved. I would do it again in a heart beat to lose the 80lbs i have lost. I am not ashamed of what i did.... not one bit. i would probably weigh more than that by now if i had not had LB anyway.

You would be surprised how easy it is to put on 10lbs in one month... ice cream, ice cream.... and milk shakes... lol

Hydrate to the safe max...lots of loose change in your pockets, etc. 10#'s ...no problem

:)

hehe.... strap a few leg weight on....

  • 2 weeks later...
When i started my research i saw that my BMI was at 39 and that because i didn't have any other health issues i know i would be denied.

So i purposely gained 10lbs to reach the 40 bmi. I got it to 40.8 I figured if i have to gain 10 to lose.... then that's what i'll do. My weight was 213' date=' got it to 223.... approved. I would do it again in a heart beat to lose the 80lbs i have lost. I am not ashamed of what i did.... not one bit. i would probably weigh more than that by now if i had not had LB anyway.

You would be surprised how easy it is to put on 10lbs in one month... ice cream, ice cream.... and milk shakes... lol[/quote']

Haha!! Love it!

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