I have ran into a ROAD BLOCK!

I found out on Friday that my insurance has denied my insurance because of a lack of weight loss attempts. I knew we, the PCP, Surgeon and I had all discussed this but unfortunately it never made it to paper. Let's hope this is only a minor bump in the road and not a complete barrier. Help me out folks and PRAY, PRAY, PRAY!!!!!! Tracy

I hate to hear that! My doc wouldn't think about giving me a surgery date until my insurance approved. What is the worst case scenario here? Maybe a six month supervised diet or something. In that case mark it today and go forward. What is the name of your insurance co again. I sent in a printout of my attempts from like 10 years to now for them. Let me know!!! Jacque

Not really sure what they will accept. I have been under a supervised diet since March 17th. So, technically by August 16th - it will be 5 months. Let's hope that will be enough. My PCP is doing up a report of my past diet attempts as well. You would think that with that information and a log of my weight for the past twelve years will be enough to get approval. We'll see!! I'll keep you posted. Oh - my insurance company is Excellus Blue Cross/Blue Shield. Tracy

These insurance companies are ridiculous!!! The crazy thing is it ultimately our fate is lying in their hands. It will all work out for you-I don't understand about what type of format they want your past weight loss attempts to be in.... Did they say? Jacque

Tracy, Im so sorry to hear that. Hope it all works out ok, I'll be praying for you. Patty

I don't understand why some insurance companies require you to jump through hoops to approve this surgery. The way I look at it they should be encouraging us to have the surgery because in the long run it will save them alot of money from a health stand point. Just remember that God want put more on you than you can handle and it will all work out. I had 4 months of supervised weight records. I went to the weight loss doctor for 1 month in 2000 and 3 months in 2003 and my insurance did not require any more they approved me the next day. I have Kidney problems and when I had to stop going to the weight loss Dr because my kidney Specialist advised me that the pills were not good for my Kidney's. I said that if they required more records I was going to advise the insurance company of that and hope that they would accept that. Good Luck to you!

I'm so sorry to hear that. I will pray for you. My insurance has WLS as an exclusion. I never thought I would consider it, but I am going to go to Baja, MX and have an open gastric byspass by Dr. Aguirre on August 13th. It will be self-pay, but only $8,500. His U.S. patient's testimonials are out of this world on this website! Best wishes to you, Tracy

Im sorry to hear that you have hit a road block. I agree the insurance companies make things rough. If we didnt change insurance companies I would not be having this surgery. I used to have Cigna HMO. The local surgeon does not accept it. Other surgeons in Virginia qiut doing the surgery indefinitely because of insurance cost. My pcp was great..but his staff...I had to stay on top of them. I lost presenting a good case to Cigna to get it covered out of net work because of the staff. But, things happen for a reason.....and as of April we now have BLUE cross BLUE shield PPO , REGENCE. sO FAR SO GOOD. With them all I had to do was get a letter from my PCP stating about my different diets,why he recomends the surgery and 5 different weights from five different years. They would even pay allof the monies for the registered dietician. But, there is a snag at in regards to that, So allof it will not be paid...just part. Its a snag at the Dr.s office. Don't give up. It will work out. Mary