In the hands of my insurance company

To all those who have had or waiting to have surgery, please keep me in your prayers. My Doctor has submittd my info.and it's with BC/BS medical support team. All I can do is pray that they can see my health history and approve this on the terms that it can be a life saving surgery!! Thanks

Hey Michele, I am in the same situation as you..doctors gave info now its ins turn hopefully it will be a speedy decision for both of us take care Jean

Isn't that just frustrating when you have done everything required of you and now all you do is wait? I am waiting on my insurance company for the 3rd time now. I was denied twice and we sent my 2nd appeal request last week so here I sit again...waiting. They say it is not medically necessary and that my illnesses (ie:diabetes, asthma, arthritis, sleep apnea, etc) are not a direct result of my obesity. However, where they got this information from is beyond me. According to my doctor they are directly related and weight loss surgery is a key factor is improving my conditions. The thing is...my doctor said that he did not inform the insurance company of this information..So, how can they come to that conclusion? I have known 3 people who have had it done through the same insurance company and they don't even have as many health complications than I have. They didn't have to jump through all these hoops....Still hoping for an approval. Julie Main Omaha, NE.

Julie, Often ins co's arbitrarily deny in the hopes you will quietly go away. Keep appealing your denials. Don't let them get away with refusing to pay for your surgery. Please come visit us on the DS board here on obesity help. There are others in your situation and they may be able to offer you advice. Our members have a wealth of info on why the DS will benefit you, including the fact that the DS CURES, yes I said ~CURES~ Type II Diabetes in 98% of patients. You should be approved on the basis of your BMI and your Diabetes. Shame on your ins co! Laurie in So Calif. DS 11/30/04 Dr. Anthone in Omaha