I know there is a place for insurance questions but seems theres little traffic there and not getting responses. Figured you all in here are the ones that got through surgery so maybe find what Im looking for. I have Amerigroup and got denied, dr has been going round and round with them for me and several other patients. Looks like they deny everyone. Anyone have good results? We had a tentative sate set for May 5 and I was on my preop liquid diet. Dr office told me to stop but Im still on it for the most part. Determined to be ready if these appeals go through as I have to do this by next week or not for 3 months due to work.

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Were you ever approved through Amerigroup?

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I was

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Was it a difficult process?

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No, I had to do 6 months of nutrition classes and weigh ins. They approved 1 week after submitting my paperwork.

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Awesome! I'm going to a seminar on the 18th and I hope my journey goes smoothly with them.

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I was approved by amerigroup, I was sleeved 11/19/15, and The insurance required 6 months nutritional classes, and yea I was approve within a week

This calms my nerves seeing you guys had your approvals so fast. I hope the same goes for me.

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Im still fighting for it. Originally submitted first week of may. Denied due to no severe comorbidities. Dr has put me on meds for blood pressure and cholesterol now so hoping they approve now.

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Did any one of gain weight during 6 months pre op and get approve im so stress i gained 8 pounds

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I just got denied for a second time. Planning my Mexico trip now but no, I lost 30 then gained 8 back. So down 22 from start. Medicaid makes it very difficult to get approved

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My surgeon has told me not to gain but never gave me an amount to lose. He just said the insurance doesn't want a big gain. It may very state to state though.

Brenda what was their reason for denying you?

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My surgeon has told me not to gain but never gave me an amount to lose. He just said the insurance doesn't want a big gain. It may very state to state though.

Brenda what was their reason for denying you?

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The denied me do to no disabling condintion, which is like a serious comorbidity. The require that regardless of bmi. I have been put on meds for high blood pressure, high cholesterol and am pre diabetic but thats not enough fir them. Got denied, did a peer to peer, resubmitted, denied again and dr just did 2nd peer to peer yesterday. Medicaid is very strict. You should be ok if you have diabetes and a high bmi

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I use amerigroup and got approved in only a few days. I had to get letters from all my docs. Back surgeon, pain management doc, pcp, neurologic doc, shrink.

If you have any of those get them to write letters saying they believe you need the surgery.

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Edited September 3, 201610 yr by Brenda Sherwood