Question:
Denied twice because of BMI dip while doing WW

Has anyone here ever won an appeal when being denied because BMI dipped below 35 during 24 months. When I went to WW it did go down only to go right back up again. I have been denied twice. Any ideas????    — NovemberHope (posted on November 24, 2008)


November 24, 2008
Get an attorney that specializes in bariatric surgery appeals. Somehow, when an insurance company gets a well worded letter from an attorney on their letterhead, things can get overturned. Can't promise anything, wish you luck. Best of luck, Dawn Vickers, RN, BLC, CLC
   — DawnVic

November 24, 2008
My insurance only needed one weight for each YEAR. Just pick the highest for that year and do not show them the lower ones.
   — denisemoe1

November 25, 2008
Talk to a lawyer before you go any further, because if you are denied a third time you can not apply again and then you won't be able to have the surgery.
   — jeannefitz

November 25, 2008
Do you have any co morbidities like high blood pressure, GERD (acid reflux), sleep apnea that you can use for back up. These are considered life threatening and make sure your doctor notes that it is deemed medically necessary and keep submitting the paperwork. Best wishes to you.
   — Kristy




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