DENIED

[KristinaRN 54]

I am so frustrated right now! I spoke with someone at my insurance company yesterday and she told me I was DENIED. WHAT??? I did everything EXACTLY like I was supposed to! The reason given was that I "did not complete the required 6 month supervised diet with my physician". But I did!!! I have ben very meticulous in meeting their requirements, and my surgeons office has documentation of all 6 months of visits. Obviously there was a mistake made somewhere. She is turning it over to her supervisor to hopefully get it all straightened out. Of course, it is a holiday weekend so I have to wait until Tuesday! I think it will eventually get approved, because I have most definitely met all of the requirements, its just so frustrating!

Has anyone else been denied initally, but then got approved on appeal or re-review????

[wishes 125]

That is ridiculous. I hope you get this straightened out soon. Good luck!

[AwesomeSleeve 5]

Try to stay positive. I'm sure it will all be worked out soon. Wishing you the best.

[NewKat 1]

Now I AM scared! First time i was denied even though the rep told me that everything looked great except the 6 month diet. I just turned in my notes this week and now I am waiting to hear. The doctors office called to let me the the insurance was asking for additional info such a a couple of PCP visits earlier in 2010 to see what I weighed then, I did not do very well with the 6 month diet. I yo-yoed my way back and forth through 10 pounds. But if I could do this on my own without this "tool", then why would I need the surgery in the first place? I am so afraid they are going to deny me again.

[Bemabound 11]

Hey Kristina,

My insurance told me the same thing and come to find out that the last six pages of the packet sent to insurance from Surgeons office did not come through....of course that was the six pages documenting my six month Dr. supervised visits....Make sure of the number sent from surgeons office and then call the insurance back and make sure they have all your pages....my packet was 26 pages long all together....dont' worry....it's frustrating but you will get past it.....once they realized the pages were missing, I was approved in two days! Tracy W.