DENIED.

[glitterpockets 85]

I went to my last appt and they said I have met all the requirements they needed. Well apparently my insurance seen no comorbitities. So therefor I don't need it. I called the doctor and they're suppose to do a peer to peer tomorrow and call me after. I'm SO upset and discouraged. Especially after all money I've spent on my psych eval, gas for the appts every month that are 1 1/2 hrs away, all my Protein, Vitamins, etc. I have comorbitities according to the doctor so I don't understand?

[trekker954 421]

Insurance Companies have their set of requirements and the doctor has his own. I'm assuming since you have been at this a while, you know exactly what the insurance company requirements are. Since you are talking about comorbitities, i'm assuming your BMI is between 35 and 40 somewhere. If they are documented comorbitities, the insurance company can't ignore that. Ask your surgeon's office what documentation they sent in for you. Did you provide all the test results and such showing your co morbitities?

[glitterpockets 85]

Insurance Companies have their set of requirements and the doctor has his own. I'm assuming since you have been at this a while, you know exactly what the insurance company requirements are. Since you are talking about comorbitities, i'm assuming your BMI is between 35 and 40 somewhere. If they are documented comorbitities, the insurance company can't ignore that. Ask your surgeon's office what documentation they sent in for you. Did you provide all the test results and such showing your co morbitities?

Yes they submitted everything. They even looked it all over December 28th just to make sure I had all the requirements for my insurance. I did.

[keltokel 4]

What insurance do you have if you do not mind me asking?

[shelly7 23]

The same happen to me but i talk with the insurance coordinator and they asked if i have any joint pain arthritis ir back pain you should do the same i do have lower back pain and arthritis in my back n got approved

[glitterpockets 85]

What insurance do you have if you do not mind me asking?

Upmc for you insurance

[kaylababy1229 1]

I have the same insurance and they just submitted mine. I lost some weight during the lifestyle program so I am hoping the insurance goes by my starting weight and bmi and not my current weight and bmi. Even after losing some weight my bmi is still at a 38 and I have high blood pressure. How long did it take to get a response from the insurance? Did you appeal their decision?