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So Upset.......please Need Advice And Input!
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Hi Ginger, Please do not get down, I exactly how you feel as I spent the last year arguing with my insurance company. Be determined and most importantly know that you surgeon will help you in any way
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I know someone who drank a coke before her fasting lab work so it would look like she was a diabetic. That's what ultimately led to her doctor approving her surgery. She was 5'4" and over 300 lbs an
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Most good bariatric centers know which hoops they have to jump through for which insurances. Talk to the coordinator there.
I was planning on introducing myself.... and so happy to tell everyone that my surgery date is set for Oct 8. I have done the six month supervised diet,all the preop tests everything that was required. I came home tonight and received a letter from Cigna stating at this time they do not feel there is medical necessity for this surgery and that I should send more documentation to support the necessity. I am 275 lbs 5'3,my BMI is 50 ....Really...my knees hurt,Im tired all the time,my back,feet hurt etc and oh yeah I want to live longer,be healthier,see my kids grow..Im so ready in every sense of the word for this.I have a bad feeling.I do not have diabetes or high blood pressure,so if a BMI of 50
being 275 lbs at 5'3 is not enough and not having any comorbitities (sp) Im not sure what I can do.I feel like Im going to have a fight on my hands.I mean the good news is it said this is not a denial letter,but I am just not sure what more I can send them to warrant the surgery. Please any advice is welcomed I wanna so bad join all of you on that loosers bench. I get so inspired and excited reading all of your stories on here.