NEED HELP ASAP
I WAS DENIED AFTER THE FIRST LETTER TO THE INSURANCE COMPANY AND THEY SAID IT WAS BECAUSE I HAD NOT WORKED WITH MY PCP FOR A 6-MONTH PERIOD FOR OBESITY WITHIN THE LAST 2 YEARS. I HAVE SINCE THEN COMPLETED MY 6-MONTHS. I RECEIVED A SECOND DENIAL OVER THE WEEKEND THAT STATES AGAIN THAT I NEED TO WORK WITH MY PCP FOR A 6 MONTH PERIOD. ALL OF THE OFFICE NOTES AND ANOTHER LETTER FROM MY PCP ACCOMPANIED THE INFORMATION GOING TO THE INSURANCE COMPANY. THE SURGEON'S OFFICE RECHECKED THE INFO TO MAKE SURE THAT THEY HAD EVERYTHING CODED CORRECTLY AND RESUBMITTED IT AGAIN AND WE HAD THE SAME RESULT.
I DID WHAT THEY ASKED AND THEY ARE STILL FIGHTING IT. I KNOW OF THREE OTHER PEOPLE FROM OUR COMPANY WHO HAVE HAD THE SURGERY SO I KNOW THAT THE APPROVE IT. IN THE LAST 6 MONTHS, I HAVE BEEN PUT ON BLOOD PRESSURE MEDICINE AND THE CARDIOLOGIST PUT ME ON LOPRESSORS. I'VE BEEN WORKING WITH THE CHIROPRACTOR FOR PINCHED NERVES IN MY HIPS THAT MAKE MY LEG GO NUMB WHEN WALKING OR STANDING FOR SHORT AMOUNTS OF TIME. I DON'T KNOW WHERE ELSE TO TURN. I'VE SEEN PEOPLE WHO LOOK LIKE I WANT TO LOOK AFTER SURGERY AND THEY'VE HAD NO PROBLEM GETTING APPROVAL, BUT I CAN'T. I'M 36 YEARS OLD AND WEIGH 282 POUNDS, I HAVE BEEN OVERWEIGHT MY ENTIRE LIFE. I'M BEGINNING TO GET VERY DISCOURAGED. IF ANYONE HAS SOME ADVICE, PLEASE HELP. THANK YOU!!