DENIED
(Blue Cross Blue Shield Blue Plus pre paid medicaid)
Where do I go from here??? HELP!
I'm NOT giving up so easy!
It took the FULL 2 weeks to hear back that I was denied.
Dig out your insurance book, does it say that in there, or did you get a letter stating that you needed to have a BMI of 50 or above? You should do a "shout Out" on the DS board for Diana Cox, she is AWSOME & might be able to help with the 50 or above thing. Does the insurance say that the DS is "investigational" with people of BMI's less than 50?
Questions that will probably get asked of you multiple times
-Jamie
RNY 2/26/2002 DS 12/29/2011
HW 317 SW 263 BMI 45.1
SW 298 CW 192 BMI 32.9~60% EWL
LW 151 in 2003
TT 4/9/2003
Normal BMI 24.8 is my GOAL!!!
GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**
*Like*
RNY 2/26/2002 DS 12/29/2011
HW 317 SW 263 BMI 45.1
SW 298 CW 192 BMI 32.9~60% EWL
LW 151 in 2003
TT 4/9/2003
Normal BMI 24.8 is my GOAL!!!
GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**
I just don't understand the denial because in the policy, it states that they will look at the weight within the last 2 years b/c of course, BMI fluctuates. I had a BMI of up to 52 in the last 2 years. Its almost like they didn't look at that information. In which case, they should when they get my appeal. I'm hoping.
