Denied ????

[mbarrera 1]

My insurance denied my bypass surgery ???? i had a tentative date of Jan 30 ???? i was so excited we sent in a food log and also all the appt that i had. They denied due to lack of evedince i have blue shield i dnt know if i should wait or submitt again im so sad i have mixed feelings ????

[ready2smile 138]

My insurance denied my bypass surgery i had a tentative date of Jan 30 i was so excited we sent in a food log and also all the appt that i had. They denied due to lack of evedince i have blue shield i dnt know if i should wait or submitt again im so sad i have mixed feelings

Did they tell you what they were requiring? It may just be something your surgeon needs to take care of. Don't let them slack, keep on them. I had to or would never have gotten the surgery. If it's something you need to do, you are more in control. Don;t lose hope.

Some back-ground: In May I was denied by BS NV as well the 1st tiem around-no "approved co-morbidities" and my BMI was not high enough. I then got a sleep apnea test, it was an approved co-morb, but they said I was not "bad enough" to need a cpap machine. I kept jumping through hoops, and unfortunately gained weight from stress and frustration, plus not paying attention to my eating habits. November my BMI was enough (had to be 40 or higher) to qualify for any of the 3 surgeries offered. I stressed about it and could not be at ease unti lthey put me on the table in the OR and put the gas mask on my face. It was a very long process to me and I would do it again and again. I am only 3 days post-op, still sore, still new at this and have been challenged with food more than once, BUT-I WILL be around for my kids graduations, weddings and grandbabies! That was not a guarentee before the surgery.

Best of luck to you-if you have any other questions, please feel free to ask.

[ElleG 394]

I agree. Keep working with your doc to see what is needed and if necessary file an appeal. Best wishes

[mbarrera 1]

I will thnks

[Smilejoelle1 19]

Was this with bcbs il or another division?

[celebrate*me 52]

My insurance denied my bypass surgery dde1e i had a tentative date of Jan 30 dde14 i was so excited we sent in a food log and also all the appt that i had. They denied due to lack of evedince i have blue shield i dnt know if i should wait or submitt again im so sad i have mixed feelings dde0f

What did they mean lack of evidence?

[changingme 12]

What I did was mail every medical record i could obtain on myself since being overweight and mailed each and every stack to my insurance company.

[TinyMamiOf3kids 1,280]

Don't give up & keep on trying.