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Denied due to no disabling condition

Brenda Sherwood

By Brenda Sherwood, in Insurance & Financing

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Medowsweet    52

Medowsweet
Posted

Obesity is a disease, it needs treatment not delays to treatment... There is no other disease we could have that's met with denial of treatment nor being forced to prove what you have done to treat it... Obesity is the only thing our political correct society has not embraced, it's still socially acceptable to have bias against obesity.

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That is because the candy, and chips, and snack food, and fast-food, and soda industry are big bucks!

If they (the powers that be) can push the idea that it is your own fault then they have no responsibility and can keep racking in big bucks!

Imagine a factory was fluding the air with toxic chemicals. People were getting cancer... Not everyone, just some people... And it was getting to be more and more.... Soon a third of everyone was getting cancer from breathing the poison air.

But the company pushed the idea that cancer is a choice. So they can keep polluting.

And the crazy thing was people believed them. Even the sick people would hold their breath or wear a gass mask when out doors... and assume their cancer would go into remission on it's own.

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Brenda Sherwood    64

Brenda Sherwood
Posted

I'm so frustrated. I have done so much to get approved for this surgery and was just told I was denied due to not having a disabling condition that requires this surgery. I meet all their conditions stated in the handbook that says bmi over 40 doesn't require another condition. My bmi is 46, wven after losing 25lbs on my dr supervised diet. We are sending in an appeal. Anyone else go through this?

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WHAT INSURANCE DID YOU HAVE

I'm so frustrated. I have done so much to get approved for this surgery and was just told I was denied due to not having a disabling condition that requires this surgery. I meet all their conditions stated in the handbook that says bmi over 40 doesn't require another condition. My bmi is 46, wven after losing 25lbs on my dr supervised diet. We are sending in an appeal. Anyone else go through this?

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WHAT INSURANCE DID YOU HAVE
WHAT ARE YOU GOING TO DO
I have Amerigroup. My Drs have been fighting with them trying to get me approved. I cant get surgery done until late July mow because of work so I have some time. If it doesnt get approved by then, I plan on self pay in Mexico

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Read2016    658

Read2016
Posted (edited)

Just keep in mind the people who review documents job is to not have the insurance company pay out, I feel they deny people just to see how willing they are to fight it...

Good luck

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Edited by nyteacher125

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Brenda Sherwood    64

Brenda Sherwood
Posted

Thanks. My surgeon has a peer to peer set up in 2 weeks. Basically they want comorabities even with high BMI but they lost family history and I have lots of issues in family issues. Going to keep fighting

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Go To Topic Listing Insurance & Financing

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