Approved or denied
Hey Marsha
I have BC/BS HMO IL and was approved in 3 days
My PCP gave me a referral and it said..... "Patient needs obesity surgery"
Good thing my surgeon wrote a very detailed letter about why I needed WLS...LOL
I feel so sorry for those battling to get approval now.... seems like alot of hoop jumping!
Tracy Lap-RNY 8.14.03 -140lbs
Good Morning,
I was Approved after the first letter, but it took 3 months!
The following information was sent on my behalf:
1. Letter from Surgeon stating medical necessity and co morbids
2. Letter from PCP stating medical necessity, co morbids and diet history
3. Letter from ME describing my diet attempts and how the diet is affecting my quality of life (including sex)
4. Co-Morbid Factors: Sleep Apnea, Hypertension, Osteo-Arthritis, Irregular Menstrual Cycle