New to the forum, Insurance question!

Hello everyone! I'm gathering my necessary paperwork for insurance approval. I have Blue Care Network. I still have to have my psych. evaluation before submitting my stuff to them for approval. I need to give you a little background before I ask my question. I have been type II for 10 years and I take handfulls of medication everyday for everything that goes with it. I have been to dieticians, doctors, etc to loose this weight. However, my Doctor didn't really keep a good diet documentation which is required by my insurance (at least 12 months in the last 4 years). Here is my question, has anyone else been in the same situation with their insurance but still submitted it and got approved just based on their health problems. I am very frustrated right now. Thanks Tammy

My insurance co. did not tell me how much documentation they needed/wanted. My endocrinologist had my weights for the past 10 years. In his letter of medical necessity, he did not list them all, but just mentioned that I had been followed by him for 10 years with numerous attempts at weight loss, my ups and downs with increasing insulin requirements, trial of metformin + insulin to reduce weight gain. Basically he discussed the impact of Type II diabetes on my life and other co-morbidities and why he was recommending the surgery for me. My insurance co. got his letter on a Fri afternoon; they approved me Tue morning in 2 days! Good luck to you, Tammy. Kathy

Thank you so much for your response. I will have a talk with my PCP and see if he would submit a letter also describing my situation. Are you off the medicine now? Best wishes, Tammy