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When you call the insurance...what do you say?

So I went to my first seminar, and they stressed to make sure you call your insurance and see if they cover. They also said see if you need a supervised diet, ect. WELL...My insurance covers WLS for morbid obesity. NOW!:confused: What do I say? Do I give them the CPT code? Do I tell them my BMI? What do I say?

Thank-you so much for responding/ or viewing my topic!:clap2:

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Needless to say, I am completely devistated. I am not only out the $500 I have spent so far, but more importantly, struggling to think of ways to get the 15K for the surgery.

I am seeking your advice! Anyone have something like this happen to them? Was it worth the time and energy to fight the insurance company? I was told by my doctor that fighting an "exclusion" was more with your employer, and I can only imagine what that would be like. (my hubby works for state government)

I am just looking for any info you guys might have. Thanks so much for your support!

Niki

PLEASE Don't give up... go to www.obesitylaw.com

Ladies and Gentlemen of the Board,

I have a tentative surgery date of FEBUARY 27th!

My insurance notified my surgeons office and its kindof interesting. As of Today, My bmi is 50.2. They will only cover the surgery up to BMI 50. SO Im on a liquid diet as of tomorrow morning (thursday) and the race is on! They will resubmit as soon as i get down two more lbs which will be very soon, and the TENTATIVE surgery date is the 27th IF everything goes smoothly..which it could! i have great fabulous luck! it could happen! It very well could!

so..we are ON. Ive been riding bikes every day, but i need to step it up a bit and walk an hour a day too. the weather is good here.

We have a date!

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