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Denied and Depressed



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Finished last of all my appointments, surgery set for 4/3, plans made, Vitamins and Protein powders bought and I get a call yesterday that insurance denied surgery. I am so so so sad!!! I asked when they gave me surgery date if insurance was all set and she said she did see any problems. I was so mentally prepared and now I am lost. Dr office said they don't want to appeal since they sent all my info. [emoji19]

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I don't think you should give up. Call your insurance and get specific denial reasons then go back to your doctor and tell.them it's not about what they want it's what you want and you want to appeal



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13 hours ago, cms0181 said:

Finished last of all my appointments, surgery set for 4/3, plans made, Vitamins and Protein powders bought and I get a call yesterday that insurance denied surgery. I am so so so sad!!! I asked when they gave me surgery date if insurance was all set and she said she did see any problems. I was so mentally prepared and now I am lost. Dr office said they don't want to appeal since they sent all my info. emoji19.png

Have you considered Mexico and going self pay.?

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I got my tax return on Wednesday and booked the sleeve in Mexico for April 3. Dr. Ilan at Bariatric Pal MX. I've heard great things. Insurance is out for their own best interests.

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34 minutes ago, cms0181 said:

I have checked into Mexico. I just may do it!


I'm going to the OCC, March 23rd is my sleeve date. The doctors have been on Dr.Oz and Oprah, I've only heard good things. I've looked into for 2 years and once I made the decision I called and had an appointment within a month. You have to work on yourself, as you don't get counselling , but counselling it not for everyone and really dependant on her skills too.

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Don't give up get your policy out read it very well if you have copy's of all your compliance requirements such as diet weigh ins etc pre op testing etc have those ready too call the insurance company ask for a decision in writing as why you were denied they should send one anyways but if you haven't gotten one ask for it drs offices can say they sent all info but at times do not so see if it's just missing or incomplete paper work and again read the policy see what the appeal process is and get started on it typically the drs office should appeal it for you at least once don't just accept it insurance company's often deny they want you to give up and go away then they don't pay out for and expensive procedure oh and if they ask you to submit any more paper work do not ever give up the only copy of anything always keep copy's for yourself and send it registered mail so they have to sign for them and you get a receipt in the mail so they can't say they never got it and always ask for the persons name with you are speaking

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