Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

I have blue cross and let me tell u its a nightmare. I started this chapter of my life Dec 2011. I just finished up my 6 months of seeing a Dr a month and a dietary Dr. I did everything they needed except that i don't have my weight for 2007. And they denied me. So i just went to my primary Dr and asked him to write a letter to see if they will change there mind. I feel like im on a roller coaster. Im frustrated and upset.. Id anyone having the same problem

Share this post


Link to post
Share on other sites

the first time I tried i tried to get approved and it was for a lap band about 3 years ago the same thing happened to me.I was missing 1 year of a weigh in at my pcp,never mind that I have 20+ years with this same pcp and plenty of records,but it wasnt in the 5 years time span that they required,so they denied my approval,i was so disgusted i gave up until later,and early this year and got approved,but this time for the sleeve,Im glad i waited to go thru the process again.

Share this post


Link to post
Share on other sites

I'm so sorry to hear this :( Ask your insurance coordinator or however submitted your stuff for approval about appealing. Do you have any weight history from before that year? It would be worth it to try to include that... logically there is no way your weight dropped THAT much in a year you know? FIGHT FIGHT FIGHT for it! Hopefully something will change.

(((hugs))) Good luck!

Share this post


Link to post
Share on other sites

Anything from a "credible" source should help...any doctor weigh in, any fitness program weigh in. Anything pertaining to work. Gyno visit, allergist, any specialist...possibly even a photo that you can submit the "timestamp" from the digital image.

Think of everything you did that year. Go through your medical reciepts, etc. See if you can't find somewhere you went that they put you on a scale that would still have the records.

PS - what about 2006 & 05 - it would help establish a pattern for when you appeal.

Share this post


Link to post
Share on other sites

Wow I have BCBS Alabama and now I'm wondering do I need 2007? My coordinator went back from 08 until now,but I'm gonna try and track down 07 just in case.

Share this post


Link to post
Share on other sites

Wow I have BCBS Alabama and now I'm wondering do I need 2007? My coordinator went back from 08 until now' date='but I'm gonna try and track down 07 just in case.[/quote']

I have bcbs, every plan is different . I only needed 3 years of history.

Good luck in tour journey !!!!

Share this post


Link to post
Share on other sites

Thanks! I just went and read their policy and it changed from 5yrs to 3.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      Just for fun last week, I ran two 5Ks in two days, something I would have never done in the past! Next goal is a 10K before the end of this month.
      · 0 replies
      1. This update has no replies.
    • Teriesa

      Hi everyone, I wrote back in May about having no strength. I still get totally exhausted just walking from room to room, it’s so bad I’m using a walker with wheels of all things. I had the gastric sleeve Jan. 24th. I’m doing exactly what the programs says, except protein shakes. I have different meats and protein bars daily, including vitamins daily. I do drink my fluids as well.  I go in for IV hydration 4 days a week and feel ok just til evening.  So far as of Jan 1st I’ve dropped 76 lbs. I just want to enjoy the weight lose. Any suggestions or has anyone else gone thru this??  Doctor says just increase calorie intake, still the same. 
      · 0 replies
      1. This update has no replies.
    • Stone Art By SKL

      Decorative Wall Cladding & Panels | Stone Art By SKL
      Elevate your space with Stone Art By SKL's decorative wall claddings & panels. Explore premium designs for timeless elegance.
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Losing my hair in clumps and still dealing with "stomach" issues from gallbladder removal surgery. On the positive side I'm doing better about meeting protein and water goals and taking my vitamins, so yay? 🤷‍♀️
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      · 1 reply
      1. BabySpoons

        Amazing! Congrats!!! Watch out for the sharks. 🦈

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×