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So frustrated! :(



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When I first called my insurance 3 months ago and got the list of requirements ... I made it a point and asked not 1 but 2 reps if I had to do a weight loss plan, they both said no! Now here I am 3 months in and they are say I need 6 months or 2 different 3 months:(. I sent in my membership to weight-watchers online, my slim fast membership and plan , proof from a dr that I used for weight loss for a few months and gym membership I've had from 2010 till now(shows my visits, but not my weight). Also documents from my PCP where he noted my weight and issues from 2011 and 2012,But all this is combined from a 2 yr period. So my approval is pending.... My heart is so broken I have a feeling I might still get denied. I have BCBS tx....... Has anyone went through something similar?

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I had the same experience, but I went to true results after stressing about it and since they were so experienced they were able to do all of that paperwork with the insurance company for me. It's very frustrating. If you meet the minimum requirements, don't worry. It will happen.

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Keep notes of whom you spoke with, dates and there is always a reference number generated. That way if they do deny you will have references that they can look up in an appeal. Requirements differ from policy to policy. I didn't need one for BCBS NJ, but I did need one for UHC a few years ago. The one I did need for BCBS is a "listing" of my weight loss attempts and failures and they accepted it.

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Thanks, will do.... But just incase I've already scheduled an appt with my PCP, to get the 6 months started, is it faster just to go ahead and appeal or do my 6 months if i get denied? Does anyone know? Let me add I don't mind doing the 6 months, just wish I had known 3 months ago.

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I'd start the 6 months and then appeal at the same time. An appeal usually takes about 15-30 days depending upon their turn around time.

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I'd start the 6 months and then appeal at the same time. An appeal usually takes about 15-30 days depending upon their turn around time.

Thank you very much for the info! :)

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Congrats girl!!! I remember the day I was approved, holy crap a rush of emotions. So happy for you.

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Congrats girl!!! I remember the day I was approved' date=' holy crap a rush of emotions. So happy for you.[/quote']

Thanks!!! I'm excited!!

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Congrats.. Im Apr 2nd

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I had the exact same thing happen! Originally they said no diet, then when we submitted they said 6 month diet...then they surprisingly approved me any way! I'm scheduled for April 11th! :)

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