Insurance company 2, Fat Man 0

J. gale
on 11/1/10 1:22 am - Liberty, NC
So I appealed my original denial based on a letter from my doctor explaining the 18 month weight loss program I was on.  My surgeon thought it should be good but insurance company said no again and wanted another 6th month program. So thats what I am doing. ... Frustration and anger have been replaced by "atleast I get to eat the sweets and Christmas" and "its only a few more months"...

August, September, October, November, December and January should finish up the required 6 month program (which is really more of a waiting period if you ask me---but who's asking) and I should be good to go late January or Early Feb. 2011.


Barbara C.
on 11/1/10 9:04 am - Raleigh, NC

Hi Gale, 

I'm sorry that your insurance company wouldn't accept the information your Dr provided. It's actually very common for them to not accept such information and they will even have some information that says that they will not accept a Dr's 'narrative' in place of the monthly medically supervised weight loss attempts. You may want to find out from your insurance company what exactly they need to see in the notes to ensure that it is properly documented. Often they want your vitals, including BP, weight, and height, your proposed 'dietary' plan, exercise plan and behavior management plan. They generally want know how the plan went during the past month and what the plan is for the following month. Some want 'documentation' such as exercise logs from a health club or attendance at counseling sessions, Weigh****chers meetings, etc. others do not need that. 

Wishing you all the best and I hope you enjoy the holidays!

Barbara
ObesityHelp Coach and Support Group Leader
http://www.obesityhelp.com/group/bcumbo_group/
High-264, Current-148, Goal-145

Missy1975
on 11/2/10 12:50 am - Graham, NC
I just hate that for you :(  It can be so frustrating!  I know you've heard it a million times but try to keep your chin up (it sounds like you are).  Hopefully the New Year will start your new life!
J. gale
on 11/2/10 7:14 am - Liberty, NC
So i am walking out the door today to go on a business trip and the phone rings.... Insurance reconsidered---APPROVED... completely unexpected... Surgery 12/3
Missy1975
on 11/2/10 10:47 am - Graham, NC
NICE!!!!!!!
peacefrogggie
on 11/3/10 10:51 am - Durham, NC
Congratulations! That's Great!
Mommy2006
on 11/9/10 3:17 pm
Congratulations!!
worlfree
on 11/10/10 10:07 am - DivaTown, NC
CONGRATS...

       

 

            

(deactivated member)
on 11/12/10 7:11 am - university park, IL
!!!!!!!!!!!!!!!!!!!CONGRATS!!!!!!!!!!!!!!!!!!!!!
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