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Those who have dealt with a denial- what was the reason for the denial?

I'm just curious what some of the reasons are.

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I asked my Dr. and he said reasons would be a low BMI. Another could be for not following the required visits (psych eval, nutritionist, weigh in's) and check in's have to be consecutively, no gaps. I am still in the pre-sleeved phase. Hoping for an approval in December. Are you waiting for an approval?

Also not having specific information on your medically supervised visits. I had to coach my PCP because after I read his first note I knew it wouldn't be enough for the insurance company. They don't do this everyday so don't be afraid to coach him/her. I even wrote my letter of medical clearance and he was more than happy that I did it for him. He signed off on everything. My information was sent in to the insurance today so I'm praying for an approval.

I was denied because I do not live by a center of excellence and I would like to have surgery locally. I am still appealing.

I was denied becuz I wasn't on medication for my comorbidities.

I was denied becuz I wasn't on medication for my comorbidities.

What?!?!? Are you appealing?

Yes...appeal was accepted and I am scheduled 12/16/13.

I was denied for not having the 2yr history they require I was under 40 with no comorbids ... I am now at a 41 with HPT and sleep apnea ... I just submitted my appeal papers OMG I am so nervous please send your positive vibes my way!!!!

I was denied for not having the 2yr history they require I was under 40 with no comorbids ... I am now at a 41 with HPT and sleep apnea ... I just submitted my appeal papers OMG I am so nervous please send your positive vibes my way!!!!

Good luck with your approval! Hopefully you will hear soon.

That was one of my concerns. I was on the phone with the doctors office confirming if that could be a reason why I would be denied....uhg!!!

I was denied because my letter from doctor was outdated. Got that fixed. They told me today that my doctor had to talk to someone at cigna. I have the bmi over 40 and 4 health issues. Dont see the problem. Very aggravated.....

I was denied because of I don't have co morbidly issues. I'm scheduled for a sleep apnea test. I did everything that I was asked now this crap.

Is your BMI 40 or over?

Slipped band, bad patient b/c I haven't seen a bariatric doc in over 3 years. Won't convert, and will only take out slipped band if its emergent. I'm sad, mad and don't like the feeling I can't get the sleeve and I have a broken band. Crazy is - my current insurance didn't pay for this band, I was self pay on the other coast in 08.

Is your BMI 40 or over?

Mine is at 48 my insurance waives all the extra stuff if BMI is at 50 =(

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