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So I am working all my insurance requirements for surgery, and now wondering what if I go through all this and am denied... I know my insurance covers it and I meet those requirements... Knowing me I am stressing over nothing but still does anyone know how common is insurance denial??

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I was lucky enough to be approved first application, no problems. I've read a lot of people had to appeal once or even twice before they were approved.


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if your insurance covers it and you meet all the requirements, you should be fine

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My ins just dropped the numerous lengthy requirements and is allowing sleeves. I jumped on it, and was able to navigate thru the list quickly. Start to finish took me about 2 months. Do Ins companies really think we haven't tried every program out there prior to considering major surgery??? Stupid! They no longer require 6 months of Dr administered weight loss program, but my Dr watched me for a few months, and submitted it just to make sure I would not run into any problems. I was approved 10 days after submission. I hate having to jump thru hoops, but the savings was worth it. Altho, I would have paid out of pocket if denied. Check off the requirements, and you should be fine. Most Drs have a good relationship with the ins claim reps.

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I was approved in a day, the only thing I had to do was the 6 month waiting period.

Psych Eval

Six Dietitian meetings, one nutritionist.

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I would check what the requirements are, it is late in the year so if you have to do 6 months of anything, you are going to blow your deductible this year, and then have to meet it next year.

If I had any 6 month requirements I would wait to start next year.

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I would check what the requirements are, it is late in the year so if you have to do 6 months of anything, you are going to blow your deductible this year, and then have to meet it next year.
If I had any 6 month requirements I would wait to start next year.



I have to have a 6 month medically supervised diet, etc etc same as most... I am on month 4 of 6 and I have my psych next week...

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Do it before the year is over, just in case your policy changes for 2018.

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18 minutes ago, heycrystal2052 said:

Do it before the year is over, just in case your policy changes for 2018.

This is EXCELLENT advice. You never know what policy changes may come. Some people's policies expressly exclude WLS. Besides, you may not feel as motivated then as you do now.

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my projected surgery month is December... I am hoping to get it done b4 the first of the year bc my deductible is already met. my doctor is aware of that so we are trying...

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if you don't mind, what insurance do you have?

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This is my same fears I have. If they deny me , I prolly will sue them , not gonna lie. You pay for the insurance and they deny you service.. that's not how it works.


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On 8/30/2017 at 3:08 PM, CJ Sunshine said:

This is EXCELLENT advice. You never know what policy changes may come. Some people's policies expressly exclude WLS. Besides, you may not feel as motivated then as you do now.

I'm with BCBS and you'll be amazed at how many things we approve and at the beginning of the new year, are denied per the new group policy. If you're approved for anything, get it done that same year. Even if your employer says "some" things will not change, get it done any way.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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