Medicare Denial Frustration
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I'm in Washington and got approved no problem. I wonder why they came to that conclusion? Hopefully your Dr will help you appeal and be able to document more information they need. Best of luck!
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Yay! I just got approval from the bariatric department! Apparently they immediately reissued the request after it was denied. Apparently, they just needed more from my doctor. So I’m back on track.
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I'm disabled and on Medicare via Humana and was approved with no problem, but I had a 40 BMI and two comorbidity factors.
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I just got my “welcome to the bariatric dept” letter and a denial letter on the same day. The denial said I don’t have a history of failed diets. My GP noted my failures specifically in my chart though. I’ve done so many diets, and Weight Watchers more times than I can count. I remember being on WW in my teens. My first prescription diet was early elementary school for G-d sake!
Now I have to jump through appeal hoops. I have Kaiser (Oregon) via Medicare (I’m disabled).
Any tips and encouragement is welcome!