Denied

weighless
on 11/15/11 7:33 am - OH
VSG on 01/11/12
I just called the insurance company.  An answer was promised by today.  I was told surgery "was not medically necessary."  They said they need a letter of recommendation from my Doctor.  PS--that was already submitted....  I also jumped through many other hoops, as have most of you.  I weight 250,  I have left ventricular hypertrophy, hypertension, I use a C-pap, I'm on statins for hypercholesterol, I have asthma, and horrible joints in the knees. I have a 12 year old daughter.  I am actually devistated at this news.    I have been considering this since early September, only to find this out today.  VERY SAD. 
Janie
  54 yr. female 5'7" / HW 283 / Consult W 253 / SW 240.5 / CW 167  
Month 1:  Lost 20 pounds
Month 2:  Lost 11 pounds
Month 3  Lost 18 pounds
Tirza T.
on 11/15/11 7:37 am
VSG on 01/17/12
You are just going to have to appeal. There is no way based on your medical ailments that this is not medically necessary. Are they insane?!!!!!  Good luc****ep pushing them.
weighless
on 11/15/11 10:46 am - OH
VSG on 01/11/12
 Thanks for your encouragement.  I will appeal.  My life depends on it.
Janie
  54 yr. female 5'7" / HW 283 / Consult W 253 / SW 240.5 / CW 167  
Month 1:  Lost 20 pounds
Month 2:  Lost 11 pounds
Month 3  Lost 18 pounds
Countrygirl77
on 11/15/11 7:47 am
I was denied at first bc they were missing info...but I resent what they needed and got approval! You appeal~ no way they won't approve you! Just want you to jump a few more hoops!!
weighless
on 11/15/11 10:49 am - OH
VSG on 01/11/12
 I'm willing to jump!!  I need this so much!!  How long did your appeal take?  I already sent my MD a letter. To advocate on my behalf by calling the peer review specialist.  Thanks for encouraging me.
Janie
  54 yr. female 5'7" / HW 283 / Consult W 253 / SW 240.5 / CW 167  
Month 1:  Lost 20 pounds
Month 2:  Lost 11 pounds
Month 3  Lost 18 pounds
(deactivated member)
on 11/15/11 7:48 am - WV
Don't give up and Appeal!  Prayers for you and approval....

Paula
weighless
on 11/15/11 10:50 am - OH
VSG on 01/11/12
 Prayer changes things! Thank you for caring!
Janie
  54 yr. female 5'7" / HW 283 / Consult W 253 / SW 240.5 / CW 167  
Month 1:  Lost 20 pounds
Month 2:  Lost 11 pounds
Month 3  Lost 18 pounds
Cindy22706
on 11/15/11 8:21 am - California, MD
VSG on 02/08/12
Dont give up! appeal it! you can win!
weighless
on 11/15/11 10:56 am - OH
VSG on 01/11/12
 I believe you, and thanks,
Janie
  54 yr. female 5'7" / HW 283 / Consult W 253 / SW 240.5 / CW 167  
Month 1:  Lost 20 pounds
Month 2:  Lost 11 pounds
Month 3  Lost 18 pounds
JordynsMommy
on 11/15/11 8:36 am - PA
VSG on 05/10/12
 Do not give up hope! PRAY and APPEAL! I hope everything works out for you. Don't lose hope, ever.
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