Hello,
I just wanted to let people know and anyt there is a forum for the community and anyone who is friendly and want to stop by. I was very active 3 years ago and would like to see it become active again.   It is listed under  "weight loss related"

                                                             Thank You !
    
                                                                    Sean

If you have trouble finding it just PM me

I would call and find out what the appeal process is. Since they've already asked you about the appeal process, I am thinking that may be your only route for getting it covered. It also may just be a State of FL thing too.

Good luck!
Brenda~

My surgeons office gave me a sample to give to my PCP. I dont have it anymore otherwise I would post it. If I remember it gave info such as my age, height, weight, bmi, co-morbidities and the different weight loss attempts and the doctor stated she felt it was medically necessary for me to have the surgery. Most PCP's are used to writing such letters and should already know what to include. Its pretty simple.

Call the insurance and see if you can speak with the pre-cert dept. If they wont ask you then ask the customer service rep. Once my insurance turned in my paperwork I was approved the same day even though they could have taken up to three days to approve. I did not have to do a 6 month diet or anything. My records just had to show that sometime over the last twelve months that I met with my PCP about diet and exercise three times.

I have an appeal next Thrusday.. I can meet in person or over the phone.

Any sugguestions? 

I have never done this before.

I will be meeting w/ the board committee.. and I guess this process has never been done before, its brand new coverage.

Any advice??