Question:
I saw my PCP and he is supportive...

My PCP is very supportive and is going to write a letter of Medical necessity to my insurance. (United HealthCare-Choice plus, there is an exclusion that states it must be Medically Necessary) He has diagnosed me with Severe restricted pulmonary obstructive disease(asthma, he put me on steroids along with my steroid inhalers and singular), Morbid obesity, hypertension( I am taking HCTZ), he is going to check my blood sugar as he suspects me to be diabetic, also he says I have sleep apnea( I wake up with headaches and am so tired all the time), but we will not order tests as we know it is from my weight, also I have edema of my feet and legs(I take Lasix). Does anyone out there think the insurance would find any of this to be medically necessary? I am 35 by the way and a BMI of 57.1. Has anyone been refused the surgery with this type of diagnosis?    — Marie B. (posted on July 7, 2001)

July 7, 2001
I think that I would go ahead and get the sleep apnea officially diagnosed. It could help with your "medical necessity." Just a thought...
   — Shelley.

July 7, 2001
Hi Marie, I agree with what Shelley said. I was denied twice despite all my comorbidites and it was only after my pulmonologist received my sleep apnea result and wrote a letter to my ins co, was I approved. I currently use a CPAP machine.
   — dandjon