Just got denied!

Greetings everyone: Received my denial letter today. BCBS of CA states that the clinical information provided by Dr. M's office does not support medical necessity.   I know that I am borderline as my BMI is 39 or 37 (depending on if you use my weight in Jan or April), and my co morbidities are not severe enough asthma, high blood pressure and depression.  This make me wonder what was missing.      I have 30 days to appeal.  Has anyone been successful in overturning their denial? Is it normal here for the bariatric surgeons to just send in your records along with a surgery request to your insurance?  When I lived in Chi Town, I looked into having surgery there and you actually met with either a LPN or RN who took a really thorough history.  I think she asked me everything including my panty size......just joking!! But really, it was pretty detailed and they wanted to know lots of facts about my mother and aunt both have suffered strokes and breast cancer and are obese. Its late and thank you all for taking the time to read this........ To all those that have surgery dates, I wish you success on your road to weight loss.

Hi, I am sorry to hear about your denial. A lot of insurance companies look at your health history since your bmi is between 35-40. Don't give up. The worst they can do it tell you no. You could also self pay if that  is an option. Good luck. Mona

Well,  I am going to work on appeal and see where that gets me.  But f  I am not successful with the appeal process.  I am looking at having the surgery in Mexico by Dr. Ariel Ortiz.  My only problem is follow up care.  I've approached a number of docs locally and they dont want anything to do with another surgeons work. Lets see what happens in the next 60 days!!

I am so sorry. What ever you do, do not give up hope. ...I have waited 7 years for an insurance company to cover this. It can happen for you to.  Blessings and prayers to you, Chris C