I started my journey last July/August.:confused2: I did the 3 month diet and exercise plan only to basically be turned down by my insurance company saying that I wasn't fat enough. So I added 3 more monthes of physician supervised diet and exercise and resubmitted everything, plus with a written appeal letter. My problem in the eyes of my insurance company is that besides being overweight, I have no major health problems like, diabetes, sleep apenea, high blood pressure etc. I'm really freakin healthy in that regard.:cursing: But I do have acid reflux/heartburn, pitting adema, knee surgery twice and thingsthat I pointed out were recognized by the National Health Institute. Today I got the call from my insurance company saying that they had taken another look at my file and said that they were approving my surgery for the Lap Band!!!:thumbup::drool: They were going to contact my doctor and they would call me to get things scheduled. I'm am sooo excited, it's finally becoming a reality. Anyone that has been denied by there insurance company, try again.:scared2: I read that alot of insurance companys sometimes will say no just because(theyre vicious basta*ds)but because they think that alot of people will just except that and not press it. Hopefully next time I'm back on, I'll know more. YAAAY ME!!!!!!!!!

Hi,

I'm going through the same thing.... I'm 5'4 and 228 - not 233 which is what is needed for no co-morbities... After taking all this time to make up my mind I dont think I will be approved... I definitely can't self pay. What insurance company do you have?

Don't give up, it took 3 years for bcbs to give me an approval, i just made my banding appt. for April 14. Good luck!

kelli mccafferty

Don't give up, it took 3 years for bcbs to give me an approval, i just made my banding appt. for April 14. Good luck!

kelli mccafferty

Which BC do you have?

Hi, BCBS POS New England

I'm so happy you finally got approval, but my God I can't wait 3 years! That's a long, long time!

I have bc of Texas, and yes it took 3 years. First they said i was not fat enough, my bmi was only 38. Then they said i had not been fat enough long enough. Its been a long road and i even have 3 comorbid factors.

however, i finally have my approval :biggrin: and april 14 cannot come soon enough.

hopefully no one will have the same problems with insurance i had.

Good luck

Kelli:thumbup:

I have Aetna PPO. And I live In Independence Missouri. I was surprised that my insurance even covered it, most do not. They cover 90% after my $250 deductible. I read an article in our local paper stating that most insurance companies automatically tell you know thinking that you will give up. So it's always a good thing to keep submitting things and pressing them. Sometimes they get tired and just give in also. Good Luck to everybody. Susan:shades_smile:

I'm so happy for you. I just went to the doctor and asked about getting the lapband surgery. I have been a "big girl" all of my life and the doctor told me that I have to try to lose weight on my own..work out..blah blah. All the same stuff I've tried already numerous times. I am really depressed about it and I am just so tired of being the fat girl. Your story gives me hope that I might be able to get this surgery in the end...I just wish it'd happen sooner than later.