Denied for lack of effort?

[spdmonkeymama 36]

I just wanted to update my status here, I had my final weigh in this morning, down 9lbs this month, total weight lost 32 lbs. My PCP signed off on the paperwork so now I have a few more clearances to deal with and then it's time to submit my info!

Any updates?? How are you? Did you get approved?

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Not sure I'm doing this quoting thing correctly or not...

Paperwork still not submitted because this doctors office doesn't run very well. After numerous calls from both me and my insurance coordinator the office still has yet to send my stuff to my surgeon. I went to the office in person and they told me that they have someone who sends it out once a week and I will have to wait. Beyond frustrated!

Ahhh!!!! That's got to be frustrating.

Someone had mention not hearing an insurance requiring a certain amount of weight loss. My husband's insurance requires (and pays for) 12 weeks of weight watchers and you are required to attend 10 weeks of meetings and lose 5%. If you succeed that then your doctor has to send something in and they give you another 12 weeks and another 5% must be lost. This is all before you even get to see the surgeons office. Then you have 6 months with the surgeons program.

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[SusanB55 89]

My husband and I are both going through all the hoops required for bariatric surgery. During all this time, nobody has said we actually needed to lose any weight and they also do not present op diets. I have gained weight as a result of getting my band unfilled a few months . Ugh!

Edited April 10, 2016 by SusanB55