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Denied :(

Kelly1121

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Nymea    87

Nymea
Posted (edited)

Hope things go well for you from now on :)

Edited by Nymea

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SkinnyGalinFatPersonsBody    39

SkinnyGalinFatPersonsBody
Posted (edited)

These insurance companies deny everything all the time. Its the appeals and the squeaky wheels that gets this stuff approved. Good for you!!! My MD cant find ANYTHING wrong with me except BMI. Finally did sleep study and that did the trick. Still have to give to insurance company. Im ready to FIGHT if i have to. Its my life im fighting for. These insurances have a prior auth dept who has nurses making the decisions

If they are having a bad they deny everything. If it gets appealed it goes to medical doctor who then makes the final decision. Im a nurse and i can say we dont know everything. And i work for an insurance company and can say there are things i denied that i shouldnt have because i didnt understand the condition. Keep fighting!!!

Edited by SkinnyGalinFatPersonsBody

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Marissa.Ann.C    21

Marissa.Ann.C
Posted

i have been there. 2 years ago when i tried the first time my bmi was 37ish and i was borderline for high cholesterol, diabetes, and everything else was negative. i also have severe GERD and PCOS but apparently that doesn't matter. i have a VERY high family history for heart disease (heart attacks and heart failure), high cholesterol, and diabetes. still denied. i appealed, still denied. surgeon appealed, still denied. i gave up. now 2 years later and 20-30 lbs heavier my insurance requires a 6 month supervised diet and my bmi is almost 44. as horrible as this sounds, it seems to me like your only options are to switch insurance companies or to gain weight.

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
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    • ChunkCat

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      I have no clue where to upload this, so I'll put it here. This is pre-op vs the morning of my 6 month appointment! In office I weight 232, that's 88 lbs down since my highest weight, 75 lbs since my surgery weight! I can't believe this jacket fit... I am smaller now than the last time I was this size which the surgeon found really amusing. He's happy with where I am in my weight loss and estimates I'll be around 200 lbs by my 1 year anniversary! My lowest weight as an adult is 195, so that's pretty damn exciting to think I'll be near that at a year. Everything from there will be unknown territory!!

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      1. AmberFL

        AmberFL

        You look amazing!!! 😻 you have been killing it!

      2. NickelChip

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        Congratulations! You're making excellent progress and looking amazing!

      3. BabySpoons

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        So proud of you Cat. Getting into those smaller size clothes is half the fun isn't it?. Keep up the good work!!!!

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      1. BabySpoons

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        That's brilliant! You've done amazing!! I should probably think about changing my profile picture at some point. Mine is the doll from Squid Games. Ironically the whole premise of the show is about dodging death. We've both done that...

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