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On the verge of being denied...



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I got a box in the mail today of all the post op chewable vitamins I ordered. I got so excited to open them all up and try them (chewable Calcium tablets, yuck) but I stopped and realized that there is a very real possibility that my insurance will deny me. I got some opposition this week with my bmi being "low" and my blood pressure being only diagnosed for 2 years (as opposed to the required 5 years). My case manager basically told me to be prepared for a "no". I know that I can appeal it but its just a very depressing thought. Also that if I'm denied I will lose my slotted surgery date of April 15 that I feel so ready for and married to. I'm just feeling really discouraged and nervous. Not what I wanted to hear on a Friday to have to worry and stress out about all weekend.

Ps I have Horizon BCBS NJ. My bmi is 37.5 and I take meds for high BP but no meds for high cholesterol. I'm 5'7" and weigh 240 and I'm 31 yr old. Not to mention now very depressed :(

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You should look into self pay mexico. You will get that money back with saving on medication, reduced food intake, and self feel good

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I have Horizon BCBS of NJ as well. I weighed 267 on my visit to my surgeon, I am 5'5 and my BMI was 44. I had no problem being approved. I don't know what they consider a low BMI tho to cover the WLS surgery. Just wanted you to know that I have the same insurance as you and received approval. My surgery was on Jan 2, 2013. Don't give up, and def appeal if your denied.

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I live in Louisiana, I went to Dr. Borland in New Iberia, La I was self pay $9,800

I would recommend him in a heartbeat. I was sleeved 2/25/13

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I live in Louisiana, I went to Dr. Borland in New Iberia, La I was self pay $9,800

I would recommend him in a heartbeat. I was sleeved 2/25/13

I have heard so many wonderful things about him! I too live in Louisiana but I am trying anything I can to not be a self-pay. I previously had the lap band that has given me nothing but problems and was a self-pay but I just can't afford another surgery completely out of pocket.

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