Surgery canceled again!

Well Meritain just denied sending authorization again, so this is the 2nd time my surgery has been canceled. They state that I do not meet plan criteria because I lost some weight over 2 years ago and went under 35 BMI. They do not have in the plan criteria and canot produce any document thats states you must be 35 BMI for 3 consecutive years. They do not have posted in their plan at all a time limit. Other plans have it available for their clients.
What is worse I have taken out another policy and they sat on it  until the last minute, my surgery was scheduled Tuesday 26th. They just called to inform me at 4:30 PM. I do not even have time to submit to the other company they left me with one business day.
Today I had to rush my cardiologist to do last minute add on clearance because the anthestiologist requested.  Yesterday I  also did  tests. I had called again and asked for expedited decision last Monday because I knew deep down they were going to pull this.
Frustrated

I'm so sorry..

If they state  something they have to be able to produce it in writing. Check the folks at WWW.obesitylaw.com. They say that insurance plans must be written in such a way that the average person has no trouble understanding it and they can't say one thing and write or not write,in this case,something else.

They are defintely pulling the big stall on you.

You can call or email obesity law and they will tell you pretty quickly if they can help...might just take a letter from them to scare the ins co into doing the right thing.


Sorry this is happening to you,but don't give up! That is exactly what the insurance co hopes you will do.
Good luck,
Holly

Thank you so much I have spent hundreds of dollars both times on protein drinks,copayments and required stuff not covered by the plan. It has already been nearly a year since I started going to the bariatric center. 
I found one lawsuit where Meritan stalled a lady in New York and she went ahead  got the surgery and tried to sue them. This is apparently common for Meritain. In Oct when they denied the appeal they even refused to send me a second letter. I had to call the department of labor (ERISA) because they said I don't meet their criteria and don't even have to respond. It took me 2 months to get that 12/2010. Seems that is what they do just stall people till they give up.
I had Kidney cancer the reason my BMI went down. That is the main reason I want surgery to lower my risk factor.
When I first started everyone assured me at the Bariatric center that I qualify.... I have about 6 co-morbities.

I'm with Holly! contact ObesityLaw.com. Sounds like you're getting the shaft here! Good luck!!

Don't give up!!  Keep appealing!  My friend was denied 3 times then approved!!  Get letters from everyone and write a letter yourself.  GOOD LUCK!!!!