I just wanted to write this to encourage those who are fighting with insurance for approval. I fought with BCBSIL since Dec 2016 til Feb 2017. I was denied 3 times for various reasons, mostly paperwork crap! Don't give up fighting you are worth it!!!!! Insurance companies look for reasons to say no... dont let them tell you know without giving them the fight of their life!! I felt I have been paying my premiums and co pays for almost 4 years and never had anything major.. soooo they needed to pay for this! LOL!

What were the reasons they denied you for? I'm on my 2nd denial & just keep hoping it will be overturned.

On 3/3/2017 at 10:04 PM, reese711 said:

What were the reasons they denied you for? I'm on my 2nd denial & just keep hoping it will be overturned.

My denials were due to paperwork basicially. Initially i was told the documentation submitted didnt show medical necessity for the removal of my band not that I followed the post op diet and recommendations for the lap band. Next it was because they thought it had been removed in July when in fact it was just totally deflated in July. The peer to peer was denied too, but I never found out why and the last appeal was finally approved! My surgery date is March 14TH!!!!