Denied

[astallons]

Tomorrow would have been my surgery day, but insurance had other plans. Surgery may have been denied, but I am not giving up.

[Sandra3]

That's so unfair! I hope you will find an other way! Good luck and take care!

[Pam G]

Find out why it was denied and try again. If it's a covered benefit, then there must've something missing.

[czorin]

I was in a similar situation in 2012. After sitting in 6 months of "Bariatric Classes", Blue Cross denied my claim. Not the company itself, but the GROUP that my government agency chose. No weight loss method of any kind is covered. (No shakes, shots, or weight loss groups at all.)
My doctor tried re-wording the papers by noting that I'm considered morbidly obese, and listing the health benefits.....nope.
If you're considering paying on your own, and out-of-pocket-costs, check out weightlossagents.com

[Lisa73me]

I'm sorry that happened to you and I'm glad you aren't giving up...

[Christie13]

You need to find out your insurance companies requirements. I knew mine because my surgeon's office discussed them with me. We knew we had to follow them to the letter. The first time we submitted we were missing a form and they had to resubmit. But since we had ensured all the requirements were met I was able to get approved. Is it your weight possibly? I could not be under 40 BMI if my insurance was going to pay for it. I'm 4'11" so that meant I couldn't fall below 198 pre approval. Also I had 6 months of being in a doctors care for obesity, 4 nutritionist visits, psych eval, blood work etc. I agree you need to find out because maybe you can resubmit. Fingers crossed for you.

[Del1969]

I am going through weightlossagents.com. I'm having Dr. Hernandez do my surgery in June. I will be paying on it a little at a time because my insurance wouldn't cover it either. It's going to happen!!

[Pam G]

Tomorrow would have been my surgery day, but insurance had other plans. Surgery may have been denied, but I am not giving up.

There's actually a benefit for paying out of pocket.... No insurance hoops to jump through. Just go to surgeon an git er dun!

[astallons]

Guess who is back at it!!! I have re-submitted everything and waiting for approval!! Thanks for all of the encouragement and suggestions...I haven't been on here in a while so I am just now seeing some of these responses. Everything happens for a reason, apparently my reason is because I was going to be promoted at work and having to take time off like that wasn't feasible. Also, my husband had to have a small surgery, so that puts my out of pocket payment a lot less than what it would have been if I had the surgery in December of last year. Again, I was bummed when I was denied before, but all good things come to those that wait!!! :-)

[Pam G]

I was delayed for other reasons, not insurance, but it was two yrs delayed. I figured it was a reason, but it worked out for me. It is your turn now!