So I started this process about a year ago. Got denied in July because I didn't have my 6 month Supervised diet. Completed the 6 month last month. Submitted on 1/20 and got denied again... My coordinator will set up a Peer to Peer Review w the Surgeon and my insurance company (Blue Shield of Ca) to put an end to this madness. My question to those who ended up having a peer to peer : 1) About how long did it take to get an approval / denial? 2) How was the experience? I am so overwhelmed and frustrated at this point. I currently have 2 comorbidities and my BMI is 50! I see many people get approved so easily with a BMI way less than me and No comorbidities! I need many prayers!!

Edited February 5, 201610 yr by Sandra86says

Oh my!!! I have no experience with this, but just wanted to say that your situation stinks!! It seems obvious that this would be a great choice for you! Hope it all works out and quickly for you!

why did they deny it the 2nd time. I have blue shield of ca, and I did the 6 months, bmi 48, with htn and arthritis, and high cholesterol, and I was approved right away. I also heard that now they only require a 3 month supervison. Good luck, hope it goes through next time. Hope doc office is doing it right on the request.

why did they deny it the 2nd time. I have blue shield of ca, and I did the 6 months, bmi 48, with htn and arthritis, and high cholesterol, and I was approved right away. I also heard that now they only require a 3 month supervison. Good luck, hope it goes through next time. Hope doc office is doing it right on the request.

why did they deny it the 2nd time. I have blue shield of ca, and I did the 6 months, bmi 48, with htn and arthritis, and high cholesterol, and I was approved right away. I also heard that now they only require a 3 month supervision. Good luck, hope it goes through next time. Hope doc office is doing it right on the request.

why did they deny it the 2nd time. I have blue shield of ca, and I did the 6 months, bmi 48, with htn and arthritis, and high cholesterol, and I was approved right away. I also heard that now they only require a 3 month supervision. Good luck, hope it goes through next time. Hope doc office is doing it right on the request.

why did they deny it the 2nd time. I have blue shield of ca, and I did the 6 months, bmi 48, with htn and arthritis, and high cholesterol, and I was approved right away. I also heard that now they only require a 3 month supervision. Good luck, hope it goes through next time. Hope doc office is doing it right on the request.

why did they deny it the 2nd time. I have blue shield of ca, and I did the 6 months, bmi 48, with htn and arthritis, and high cholesterol, and I was approved right away. I also heard that now they only require a 3 month supervision. Good luck, hope it goes through next time. Hope doc office is doing it right on the request.

why did they deny it the 2nd time. I have blue shield of ca, and I did the 6 months, bmi 48, with htn and arthritis, and high cholesterol, and I was approved right away. I also heard that now they only require a 3 month supervision. Good luck, hope it goes through next time. Hope doc office is doing it right on the request.

why did they deny it the 2nd time. I have blue shield of ca, and I did the 6 months, bmi 48, with htn and arthritis, and high cholesterol, and I was approved right away. I also heard that now they only require a 3 month supervision. Good luck, hope it goes through next time. Hope doc office is doing it right on the request.

I heard blue shield is a rough insurance company to get approval through unless you have medical necessity. I started the process a year ago and then my Doctor, she's a whack, backed out a few months in. I switched doctors and had the surgery 6 months later! If is meant to be, it will be. Just make sure you're giving it your all.

Edited February 5, 201610 yr by kristennichole

I was denied twice because our plan didn't offer the gastric sleeve, just the bypass, and lapband (?!?) lapband? It time our benefits committee updates the policy!! I went t self-fund. I'm sorry it's been so difficult journey for you.

What tier on the plan do you have? Did you get approved for the initial visit with the surgeon?

Edited February 5, 201610 yr by lupelane