My first attempt at approval was a long, disappointing headache. We submitted to BCBS and they denied it saying I didn't have a co morbid when their criteria clearly stated BMI of 40 and greater or 35 and a co morbid. At the time mine was around 50. We appealed and proved our case but they then admitted I was a candidate but denied it due to administrative error. There were no errors. The next option was a state fair hearing which we pursued to get the run around. By this time it was open enrollment so I switched to WellCare. During all of this I finished the 6 month diet because BCBS only required 3. My insurance started the 1st of January. My doctors office submitted my packet on the 5th. Yesterday! This morning we got the approval. I am beside myself right now. I go in Thursday to get a date!

I was also finally approved ! January 21...8 am sharp !

Yay!

Is it the doctor or insurance fighting you on the hernia? It's just easier to do it while they already have you under. I didn't know I had one until my doctor poked around with the EGD. I think he woke it up now it's so annoying. Good luck and hopefully they quit fighting you.

The insurance comp. It's a code issue. I've had a hernia let loose and it is insanely unpleasant. I want this one fixed before it happens again.