Ins. Director said my BMI had to be over 40 for last 5 yrs. This aggravates me as my benefits state 35+ w/2 comorbities OR 40+. I also am annoyed bc my Dr. Office submitted the wrong weights for each year! Now the dr. Office has to wait to get the denial letter and schedule a peer to ppeer reviews to have the Dr. Talk to the medical Dir. That made the decision

My insurance coordinator said the same thing. That they are trying to find any excuse not to approve me. I finally got approved. It was an 11 month process but I've heard people going through it for 3 years before being approved. So don't give up!

My insurance coordinator said the same thing. That they are trying to find any excuse not to approve me. I finally got approved. It was an 11 month process but I've heard people going through it for 3 years before being approved. So don't give up!

Omg!! 11 months! I think I'd pay OOP lol not patient at all

Well in order for my insurance to pay I had to do a nine month supervised diet. Then I got a few denials for little stuff.

Well in order for my insurance to pay I had to do a nine month supervised diet. Then I got a few denials for little stuff.

What were the little things you were denied for? I start my 90 pre op nut visits next week!

Well in order for my insurance to pay I had to do a nine month supervised diet. Then I got a few denials for little stuff.

Wow! 9 months is a long time.

Well first because they said I had no Co morbids. So my doctor had to write basically why I needed it. Example ... if she doesn't have this she is at risk for diebeties, HBO, cholesterol, ect.) And my insurance coordinator wrote that my insurance covers it with no comorbids as long as my bmi is over 40. Then I got another denial saying I needed my regular pyscologist to give me a clearance even though I already got a clearance from the psychologist THEY wanted me to see. Then I got denied saying I needed a Pulmonary clearance. That took a little more time cuz I had to use a cpap for two weeks cuz they saw I had sleep apnea(minor case) then finally was approved.

And yea it was long but. Less than a year of work and now I get the surgery completely free to me. I could never afford this on my own.

And yea it was long but. Less than a year of work and now I get the surgery completely free to me. I could never afford this on my own.

Well if you get it 100% free that's great. I have $2k more for my OOP max but that includes any medical treatments me and my family have so the surgery may cost me like $1500 after any other tests I need.

Well first because they said I had no Co morbids. So my doctor had to write basically why I needed it. Example ... if she doesn't have this she is at risk for diebeties' date=' HBO, cholesterol, ect.) And my insurance coordinator wrote that my insurance covers it with no comorbids as long as my bmi is over 40. Then I got another denial saying I needed my regular pyscologist to give me a clearance even though I already got a clearance from the psychologist THEY wanted me to see. Then I got denied saying I needed a Pulmonary clearance. That took a little more time cuz I had to use a cpap for two weeks cuz they saw I had sleep apnea(minor case) then finally was approved.[/quote']

Congrats on getting approved!! You are inspiration for me to not give up just yet.

I just got the call today and am scheduled for January 7th! I have to be there at 11:00am! The bad thing is Ill b on a 2wk diet and I can't drink on new years. But its worth it!!!! 7 weeks to go. And yea its 100% free.

Yay!!

I just got the call today and am scheduled for January 7th! I have to be there at 11:00am! The bad thing is Ill b on a 2wk diet and I can't drink on new years. But its worth it!!!! 7 weeks to go. And yea its 100% free.

Good for you!!! I know you are ecstatic as you should be!!! I was denied because I needed (cardiac and) pulmonary clearance as well. My info was resubmitted to the insurance onTuesday. Now I'm patiently waiting for a yay or nay :-/

Well hopefully that will be all and u get cleared. My insurance typically took a week to get back to me.

Good luck and don't give up..mine took 8 months for approval! Glad to stuck with it!

I'm in the process now and nothing was mentioned about being over 35..