Insurance Denial

I talked to my nurse at my insurance provider today and was told that I would more than likely be denied but that she would let the physician look it over and tell me for sure tomorrow. She also told me that if my Dr. was a center of excellance physician that they would have automaticly approved me and also that my Dr. was going to become an center of excellance physician on July 14. Because my paperwork was sent in before July 14 and they were having trouble with my 5 years of documented comorbitities that I will be denied, does that suck or what. By the way my insurance is through BCBSNC.

STUPID BLUE CROSS/BLUE SHIELD!!!!!!! I'M 550LBS AND THEY SAID I WAS TOO HEAVY FOR BYPASS SURGERY AND THAT IT WAS "EXPERIMENTAL" SURGERY FOR SOMEONE THAT HEAVY. THIS IS, OF COURSE, DOUBLE SPEAK FOR "EHH......WE JUST DON'T FEEL LIKE PAYING FOR IT." I LOVE HOW THEY GET TO MAKE THEIR OWN RULES AND THEY NEVER GET CHECKED FOR IT!

Jenny, Don't give up. I was also denied at first. My insurance co. uses a contract benefit coverage co. that accesses bariatric surgery(and other types of surgical and other treatments.) This 3rd party denied me. I called my Insurance co. directly, spoke to the a supervisor and faxed over all my paper work. I collected everything from all of the doctors I had seen, and with post-it notes made notations and explanations of contradictions from the different doctors and nurses notes. I also wrote my story and how being obese affected my quality of life, with examples, including very embarrassing and humiliating things. Make sure you talk with the person who makes the decision, always acknowledge what a tremendous help they are to you, thank them repeatedly and mostly make yourself a real person to them.