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Got denied for the Sleeve for not having 36 months of height and weight. Submitted photos as evidence, hoping it’s good enough. I’ve had BMI >40 for over 20 years, trying my hardest to change. So frustrating, hoping it gets cleared up.
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  • Sorry to hear about that. Do you have other doctors that have taken your weight? If so, can they send the records to your surgeon?

  • No medical records, who knew being in good health(other than my weight) would be a bad thing!

  • jaytissle55
    jaytissle55

    That is terrible!!! Don't let this denial be the end see what u need to do to make it happen!!! File an appeal based on current BMI and dangers...

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Sorry to hear about that. Do you have other doctors that have taken your weight? If so, can they send the records to your surgeon?

  • Author
No medical records, who knew being in good health(other than my weight) would be a bad thing!

That is terrible!!! Don't let this denial be the end see what u need to do to make it happen!!! File an appeal based on current BMI and dangers...

  • Author
I’m going to appeal to I get a yes! Thanks for the encouragement!
Yeah they THINK it is their money, but dog-gone it, it is YOUR LIFE you are talking about. You deserve a quick favorable decision and I , for one, hope it goes your way on appeal!
  • Author
Thanks so much! The “wait” is on so the “weight” can come off! Sorry, trying to stay optimistic!

Sorry to say that BCBS AL truly is one of the most backward companies we deal with. Check out Horror Story #2

PLEASE be careful about just sending pics or random records hoping it will show them what you've been dealing with for way longer than 3 years because I promise you they really aren't interested and you need to be VERY CAREFUL about appealing on your own because they have quite a limited process - you want to make sure you take your best shot. If you want some guidance and suggestions which may help, please feel free to give us a call. You might find it helpful.

  • 2 weeks later...

lindstrom obesity advocacy helped me. they are experts in WLS appeals - you should give them a call. they give you a free consult. www.wlsappeals.com

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