Skip to content
View in the app

A better way to browse. Learn more.

BariatricPal

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
  • Appearance

Join BariatricPal free

  • Ask your own questions
  • Reply and follow topics
  • Message other members
  • No cost, no spam

Denied due to no disabling condition

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?

Sent from my SM-G900P using the BariatricPal App

  • Replies 19
  • Views 2.9k
  • Created
  • Last Reply

Top Posters In This Topic

Most Popular Posts

  • KristenLe
    KristenLe

    Contact the State Medicaid office and notify them of the difficulty you're having. Amerigroup is clearly trying to avoid paying for services they get paid to cover. I would notify Amerigroup that yo

  • I think some insurances just deny and hope no one fights it! Tell them you want the policy in writing and file an appeal. Ask your surgeon's office for help.

  • Tell them whatever this rule is that you need it in writing. Go to the Obesity Action Coalition website - they have some good info on appealing. Talk to your surgeon's office too - they should help.

Featured Replies

  • Author

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?

Sent from my SM-G900P using the BariatricPal App

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?

Sent from my SM-G900P using the BariatricPal App

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

Sent from my SM-G900P using the BariatricPal App

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

Sent from my iPhone using the BariatricPal App

Edited by nyteacher125

  • Author

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

Sent from my SM-G900P using the BariatricPal App

Join the conversation

You can post as a guest; create a free account to track replies, follow topics, and be part of the largest weight loss surgery community.

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.