Insurance decision tomorrow

[OlRachel 11]

Tomorrow the decision will be made on the gasteic sleeve request. We submitted 10/10, regence bcbs of oregon waited 13 days to review and tell me the drs notes were specific enough of when the 6 month diet started, then surgeons office took a week to send the new information in. Anyway. I'm so nervous. I'm scared. I literally dont know what I'll do if I dont get approved. I cannot lose weight at all. I est under 20 grams of carbs a day for 5 years with no loss. Just stay the same. Please pray for an approval for me

[Frustr8 7,886]

🙏🙏🙏👼🙏🙏Rachel- may the response only be good!

[OlRachel 11]

Thanks!

[rachietach 7]

2 hours ago, OlRachel said:

Tomorrow the decision will be made on the gasteic sleeve request. We submitted 10/10, regence bcbs of oregon waited 13 days to review and tell me the drs notes were specific enough of when the 6 month diet started, then surgeons office took a week to send the new information in. Anyway. I'm so nervous. I'm scared. I literally dont know what I'll do if I dont get approved. I cannot lose weight at all. I est under 20 grams of carbs a day for 5 years with no loss. Just stay the same. Please pray for an approval for me

Please let me know what happens! I'm in your boat. Waiting for insurance to approve and nervous!

[OlRachel 11]

Will do!

[Briswife15 889]

Praying for an approval for you!!

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[OlRachel 11]

It was denied!!!! Every hoop jumped through and denied. They will send me a letter telling me why and I can appeal.

[Shimmy 27]

I'm so sorry, that sucks! Keep appealing.... good luck!

[Hrsnjs 267]

It was denied!!!! Every hoop jumped through and denied. They will send me a letter telling me why and I can appeal.

Definitely appeal! I was initially denied as well. I met every condition in their policy and did a medically supervised diet for two YEARS. Lost 10% of my body weight. My surgeon's office appealed for me, and my primary care doctor wrote a letter about the denial. They finally overturned their denial. Sometimes I think they just want to make people give up and go away, to save money. Keep fighting!!!

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[Briswife15 889]

Oh! So sorry to hear that. I agree you should definitely appeal. How disappointing for you. ((Hugs))

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[Frustr8 7,886]

Hey you are still going to have a victory! Hospitals and Insurances, a "pox" on both of them. My local hospital has a bad habit, not submitting claims promptly, I had one bili come back on me, I could prove my insurance provider had pre-approved the procedure, they just didn't submit for 2 years. Luckily I had original paperwork, one of the few toms being Queen hoarder of the Western 🌎helped!

[OlRachel 11]

1 hour ago, Hrsnjs said:

Definitely appeal! I was initially denied as well. I met every condition in their policy and did a medically supervised diet for two YEARS. Lost 10% of my body weight. My surgeon's office appealed for me, and my primary care doctor wrote a letter about the denial. They finally overturned their denial. Sometimes I think they just want to make people give up and go away, to save money. Keep fighting!!!

Sent from my moto g(6) play using BariatricPal mobile app

Do you happen to have the letter your dr sent? Sadly my dr knows nothing about insurance so I have to tell her everything to write lol. My surgeons office doesnt even know I have a denial yet. I'm sitting her fuming and especially not knowing they're reason! Sadly it's most like because of my drs crappy chart notes

[Hrsnjs 267]

Do you happen to have the letter your dr sent? Sadly my dr knows nothing about insurance so I have to tell her everything to write lol. My surgeons office doesnt even know I have a denial yet. I'm sitting her fuming and especially not knowing they're reason! Sadly it's most like because of my drs crappy chart notes [emoji20]

I probably do have it! I'll find it and share. For some reason the private message function doesn't work for me on this BP app...email me hrsnjs@gmail.com with your email info. I'll try to find it tomorrow and email it to you. I'm not sure it will help but it's worth a shot!!

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[OlRachel 11]

Thanks I will email yoyou now!

[OlRachel 11]

Your email address isnt working?