Kaiser appeal help

Bctarver4
on 9/13/13 5:13 am - CA

 

I was hoping you all might be able to help me. I have been approved for DS through Fremont Kaiser but My Wife whose BMI is 47 with no comorbities was denied the DS surgery. I was wondering if you any of you still have those any supporting documents that you have used to successfully appeal a denial by Kaiser. Any help or guidance would be greatly appreciated.

 

 

Vicki PNW
on 9/14/13 5:12 am

We may be able to help you better if you let us know the reason your wife was denied the DS surgery.

Vicki

DS (lap) with Dr. Clifford Deveney. Cholecystectomy (lap) with Dr. Clifford Deveney 19 months post-op.

Has not weighed myself since 1/2010.  Letting my clothes gauge my progress instead.

ampt
on 9/16/13 2:30 am

Hi! I'm "the wife." I was denied because my surgeon believes that the risks outweigh the benefits based on my BMI. It makes me angry because I should be able to decide for myself how much risk is too much risk, right? Needless to say, I am starting the appeal process...

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