second time around

angela B.
on 2/21/04 8:12 am - punta gorda, fl
this is my second time trying to have this surgery done. thie first time I had aetna and keep getting the run around everytime I gave them the info the wanted the keep wanting more and i finally gave up Now I have BC/BC of florida hmo and see my primary on march 16 to try again. I am 5'2 285 with a bmi of 52 been this way for years if anyone has any suggestions of how I can get this pushed through with my insurance I would be greatful. thanks angela
nancy P.
on 2/21/04 11:35 pm - cape coral, FL
Angela, Can't swear to it but you need to have 6-12 mths supervised weightloss attempt. I have BCBS PPO and was approved in 2 days after all information from surgeon's office was faxed. It goes to the same medical review board I do know that. It also depends what your policy reads for WLS.I haven't got a date yet but it will be in March either 1st or 2nd week. Any questions you can e-mail me. Do you happen to work with a Judith ? Nancy
melindainfla
on 2/22/04 10:51 am - pinellas county, fl
Angela, Wishing you good luck and prayers. Melinda
janicel
on 2/23/04 6:52 am - Dunedin, FL
I have BCBS FL PPO and was denied the first time in November 2003 because I did not have documentation from my PCP proving 6 monts of consective weight loss attempt within the last 2 years. A few weeks ago I submitted the paper work they required and was denied again. This time they say because I had gastropasty in 1986 they won't cover it. Hopefully things will go better for you but make sure you have documentation from your PPC.
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