Question:
Can my Drs.' recommendation help to persuade my insurance provider?

Last year my Gastro Dr. said I must lose weight. I have lost and gained 20lbs. since that time, even though I have battled with weight loss my entire life. Premera said NO on the phone When I called and asked about coverage. Can my Dr.'s recommendation make any difference in their decision making? Do you know? Have you heard of this being a determinate factor?    — rainiblu (posted on July 27, 2006)


July 27, 2006
I was denied by my insurance the first time around. My primary physician wrote a letter on my behalf explaining why I needed the gastric bypass surgery. When my insurance company recieved the letter I was approved immediately. Good luck! I hope all goes well.
   — shannonwaycott

July 31, 2006
Get a copy of your insurance company's clinical guidelines for the surgery, either by going online or calling your company. thqt way, you can see exactly what they require.
   — Novashannon




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