Not Sure what to do. Help
Hello,
I have a question I have yet to see.
July 07 I had went through all the hoops for WLS.
My insurance didnt pay for the required dietian visits or the phycoligist. testing, then I went for the sleep apnea testing of which I have and got a C-pap machine of which came out of my pocket.
Well the Surgeon said I was a good canidate and for seen no problems, the clinic submitted my paper work to BCBS of ND, they denied me. stating my BMI was 39 and that my co-morbids were being controlled my medications.
The letter stated I had to be at a BMI of 35-39 for at least three years.
well my BMI was that in 06, 07.
My question is I have the same insurance BCBS Pers of ND, but my husband now put me on his insurance also through his work, BCBS, now that I have his also can I resubmit my paper work through his policy or would I be wasting my time?
Thank for all the help.
Loretta
I have a question I have yet to see.
July 07 I had went through all the hoops for WLS.
My insurance didnt pay for the required dietian visits or the phycoligist. testing, then I went for the sleep apnea testing of which I have and got a C-pap machine of which came out of my pocket.
Well the Surgeon said I was a good canidate and for seen no problems, the clinic submitted my paper work to BCBS of ND, they denied me. stating my BMI was 39 and that my co-morbids were being controlled my medications.
The letter stated I had to be at a BMI of 35-39 for at least three years.
well my BMI was that in 06, 07.
My question is I have the same insurance BCBS Pers of ND, but my husband now put me on his insurance also through his work, BCBS, now that I have his also can I resubmit my paper work through his policy or would I be wasting my time?
Thank for all the help.
Loretta
You need to appeal. Go to the light weight forum and they probably will be able to tell you what you need to include in your appeal.
Duodenal Switch hybrid due to complications.
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Click! > DS Documents ~ VitaLady.com ~ DSFacts.com ~ OH DS FB