Skip to content
View in the app

A better way to browse. Learn more.

BariatricPal

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.

Join BariatricPal free

  • Ask your own questions
  • Reply and follow topics
  • Message other members
  • No cost, no spam

OMG....

So as you all know I was denied by my insurance. So I had to do an appeal. I sent in a lot of medical records a letter from my PCP and a letter I wrote. I sent all that in on Dec 30. They received it on the 31st. They told me it will be 30 days before they made a decision. So I checked about a hour ago and they reversed the denial and approved it. I AM TOO HAPPY. I TRUELY THANK GOD BECAUSE WITHOUT HIM, IT WOULD NOT BE POSSIBLE!!!!

  • Replies 54
  • Views 5.9k
  • Created
  • Last Reply

Featured Replies

Fantastic news! Congrats. You will be on the losers bench before you know it.

  • Author

Fantastic news! Congrats. You will be on the losers bench before you know it.

Thank you!! Im so ready!!

With God...ALL things are possble! I am so happy for you!!!!!

  • Author

With God...ALL things are possble! I am so happy for you!!!!!

Yes ma'am they are!! Thank you!!. It's been a long road but God is seeing me through!

YES, HE is able! Congratulations sis! So happy for you!:)

  • Author

YES, HE is able! Congratulations sis! So happy for you!:)

Yes he is!! Thank you so much!

So as you all know I was denied by my insurance. So I had to do an appeal. I sent in a lot of medical records a letter from my PCP and a letter I wrote. I sent all that in on Dec 30. They received it on the 31st. They told me it will be 30 days before they made a decision. So I checked about a hour ago and they reversed the denial and approved it. I AM TOO HAPPY. I TRUELY THANK GOD BECAUSE WITHOUT HIM, IT WOULD NOT BE POSSIBLE!!!!

I love hearing stories like this. Congrats.

Congratulations. .. It's even sweeter because you had to fight for it!

Nice Job... congrats!

Why did they deny you in the first place? What made them reverse the denial?

I was denied by BCBS of Alabama this past December, and my surgeon is going to appeal the decision this week through a peer to peer review. I'm hoping that it goes through this time since I was able to send in some additional information from my doctor. Keeping my fingers crossed!

  • Author

I love hearing stories like this. Congrats.

Thank you...and yes I did have to fight

  • Author

Congratulations. .. It's even sweeter because you had to fight for it!

Thank u!! And I did have to fight for it

  • Author

Nice Job... congrats!

Why did they deny you in the first place? What made them reverse the denial?

I was denied by BCBS of Alabama this past December, and my surgeon is going to appeal the decision this week through a peer to peer review. I'm hoping that it goes through this time since I was able to send in some additional information from my doctor. Keeping my fingers crossed!

They denied me because 1.During the 6 month weight management I gained weight and 2.They said it wasn't a medical necessity.

I have arthritis, degenerative disc, bulging disc and lumbago in my lower back. So I went to my pcp and told her I was denied. So she gave me a copy of my mri and all my records and she also wrote a letter. Then I had been to another dr and I got my records from them as well. Then I went to my ob/gyn and got my records. I also have PCOS and weight gain is associated with that. And with my back im not able to exercise or anything. I havent worked since August. So with all that and God, they reversed the denial and approved it.

  • Author

Rena's Ragdolls why were u denied?

Rena's Ragdolls why were u denied?

I was denied because I hadn't had a BMI of 40 or above in the past 3 years, and I didn't have the required co-morbidities for the past 3 years. I do have co-morbidities, just not the ones that they recognize. I have high cholesterol, GERD, borderline diabetes taking Metformin to prevent getting full blown diabetes, knee problems and moderate sleep apnea.

I found medical records showing my high cholesterol for longer than 3 years, and I have a strong family history of diabetes, so I'm hoping that will be enough. I also found where I weighed in with a 39.1 BMI back in 2011, so that may help.

  • Author

I was denied because I hadn't had a BMI of 40 or above in the past 3 years, and I didn't have the required co-morbidities for the past 3 years. I do have co-morbidities, just not the ones that they recognize. I have high cholesterol, GERD, borderline diabetes taking Metformin to prevent getting full blown diabetes, knee problems and moderate sleep apnea.

I found medical records showing my high cholesterol for longer than 3 years, and I have a strong family history of diabetes, so I'm hoping that will be enough. I also found where I weighed in with a 39.1 BMI back in 2011, so that may help.

Oh ok. Can you get your doctor you see about your knee to write a letter saying if you were to get some weight off your knee that it will help with the problems you have been having? With my insurance (Aetna) GERD and sleep apnea are recognized. I have both of them.

Archived

This topic is now archived and is closed to further replies.

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.