Well, I was turned down by insurance
Got my first official "you've been turned down" by my insurance company today. From what I can tell, I was turned down because "there is no documentation to suggest that you BMI has been above 40 or above 35 with comorbidities for at least 12 months". The letter is long but most of it just lists what needs to be done . I'll call my weight loss surgeon tomorrow and see what they say I should do. I'm guessing that my internist will need to submit my weight records for the past year. Is this response typical from an insurance company? What are your thoughts about this? Thanks.
It's a typical response when someone fails to provide documentation that they meet the criteria, like records verifying your history of obesity if they require that. They can't approve you without the proper documentation. It's typically an error on the part of someone at the surgeon's office, who should have checked to see what documentation was required and then made sure it was all being submitted.
Please note: I AM NOT A DOCTOR. If you want medical advice, talk to your doctor. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. If you want to know what your surgeon thinks, then ask him or her. Check out my blog.
One thing my insurance co. denied me on was weight records too. My primary nurse just sent a list of weights to them and they wanted the actual copy of the doctors notes. So you might want to make sure they do that also just so you don't have another denial. Good luck to you, patience is needed all thru this journey, even after surgery!