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Down to the wire

So my insurance is crazy. I started the process to get my band to bypass conversion back in October 2015. Bariatric is covered but I had to do a six month supervised diet and a bunch of other hoops. I jumped through all the required hoops. The insurance lady at the surgeon's office submitted everything at the end of May and went ahead and gave me a June 28th surgery date.

June 20th, ActiveHealth sends a letter approving band removal and denying bypass. My surgeon has been out of town, but comes back Monday. She is going to do a peer-to-peer on Monday to see if we can overturn the decision and still have my surgery Tuesday.

I am a nervous wreck and have been on the starvation liver-shrink diet since June 14th, as directed. I'm scheduled to go on Clear liquids Monday and will do so until I hear how how the peer to peer went. I am not a fan of ActiveHealth right now!

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  • Daenerys Targaryen
    Daenerys Targaryen

    I found out my surgeon never did the peer-to-peer that day. My insurance advocate said they will actually do one now.

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Good luck. It seems like insurance companies are always throwing up roadblocks.

Good luck. How did peer to peer go

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I found out my surgeon never did the peer-to-peer that day. My insurance advocate said they will actually do one now.

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