Finally....a "YES"

linksmom · March 4, 2008

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!!!!!!!!!

Rascal76 · March 4, 2008

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?

kellimccafferty · March 4, 2008

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

Brandy~ · March 4, 2008

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?

Rascal76 · March 4, 2008

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!

kellimccafferty · March 4, 2008

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:

linksmom · March 5, 2008

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:

Readytodoit · March 5, 2008

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.