Priority Health and Surgeon Evaluation Authorization

Has anyone been denied for their surgeon EVALUATION by Priority Health?  I have to first get this "Authorization for bariatric surgery EVALUATION" approved.  Then I can see Dr. Foote. My PCP sent a letter to PH before I had a chance to read it and I am hoping it is enough.  It states my BMI and my sleep problem, and that I have lost a significant amount of weight and regained on a medically supervised diet. Any thoughts or comments on this?  I am posting here because PH is a Michigan based ins. co. Thanks,

Oh Laura-you've been going through SO much with Priority Health. I was turned down for my evaluation by Priority Health. My surgeon's office and PCP sent an appeal and was approved.....
Hang in there!

Thanks Deborah, I see a little hope in your post that your surgeon's office helped get auth. for you to see them!  Since I am already a long time patient at my surgeon's office, if I get denied, that is the route I will take. I will actually make my PCP's office do some work also since they're the ones who submitted without my 1/2 of the request.  Actually, I think I will end up writing a very specific letter for them. Have a good one,

I wasn't denied for the evaluation per se....however, Priority denied my wls request twice and would only approve the medical program (which I completed twice)...it was very frustrating. I'll try to make this short...I was having other issues (especially with GERD) and since Dr. Foote and my doctor have a good relationship my doctor referred me to Dr. Foote to be evaluated for the other surgery but he wanted me to see him at the weight loss clinic. When I met with him--he advocated for wls. I also had other doctors submit info. to Priority...my gastro and sleep medicine doctor in particular as I figured more info. was better than not enough. Not sure if this is helpful for you...I just wanted to give you a potential option and some hope for a positive outcome. Good luck! 

this is common with PH more common then approval just that no one wants to talk about that !!! Many people just end up going and paying for their surgery,,,,, Once in a while they do give any approval... but so so rare when you look at the over all picture