Tomorrow would have been my surgery day, but insurance had other plans. Surgery may have been denied, but I am not giving up.
That's so unfair! I hope you will find an other way! Good luck and take care!
HW : 150 kgs
09/02/2014 : 142 /1st apt
01/20/2016 : 134 /surgery
01/30/2016 : 130 /1st post-op
02/27/2016 : 126 /2nd
04/23/2016 : 118 /3rd
07/16/2016 : 109 / 4th
10/01/2016 : 103 /5th
01/21/2017 : 98 /1 year post-op
February 2017 : 100 lbs lost
07/22/2017 : 96
10/21/2017 : 93
12/22/2017 : 91
01/02/2018 : 96!! regain (medication)
Find out why it was denied and try again. If it's a covered benefit, then there must've something missing.
HW: 275
PreOp: 268 5/12/16
SW: 258. 5/27/2016
10 w: 225. Goal 1
12 w: 222.
14 w: 216.
4 m: 215
5 m: 205
22: 199.4 10/30 Goal 2
24: 196
6 mo: 191
7 m: 193
8 m: 184
9 m: 180 2/3/17. Goal 3
10 m: 179
11 m: 171
48: 170
1 yr: 166.6. 5/27/17
13 m: 165.8
5 y,10 m: 215
7 yrs: 230
Revised Goal : 200
"Bonus" Goal: 180
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
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.
HW: 275
PreOp: 268 5/12/16
SW: 258. 5/27/2016
10 w: 225. Goal 1
12 w: 222.
14 w: 216.
4 m: 215
5 m: 205
22: 199.4 10/30 Goal 2
24: 196
6 mo: 191
7 m: 193
8 m: 184
9 m: 180 2/3/17. Goal 3
10 m: 179
11 m: 171
48: 170
1 yr: 166.6. 5/27/17
13 m: 165.8
5 y,10 m: 215
7 yrs: 230
Revised Goal : 200
"Bonus" Goal: 180
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!!! :-)
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!
HW: 275
PreOp: 268 5/12/16
SW: 258. 5/27/2016
10 w: 225. Goal 1
12 w: 222.
14 w: 216.
4 m: 215
5 m: 205
22: 199.4 10/30 Goal 2
24: 196
6 mo: 191
7 m: 193
8 m: 184
9 m: 180 2/3/17. Goal 3
10 m: 179
11 m: 171
48: 170
1 yr: 166.6. 5/27/17
13 m: 165.8
5 y,10 m: 215
7 yrs: 230
Revised Goal : 200
"Bonus" Goal: 180
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