Hi Rosie,

Would you mind sending me the letters that you have drafted?  I am concerned because I have to a 5 year weight history and my weight history hasn't always been with a BMI of 35 so I need all the help I can get to get the insurance company to approve.  I'm trying to do surgery prior to the end of the year so I need a quick approval.  Thanks!  My email address is [email protected]! 

Hi.  I still have money in my medical spending account that I'd like to use or lose by the end of the year.  My insurance is not covering my VSG so I am self paying.  Question - can I make a claim against my medical spending account?

Let me know if y'all know.

Thank you!!

Glad it finally went through for you.  I had read your prior postings and couldn't understand why you were denied.

Congratulations!

 That is what I think!  
Exploring alternatives......

Today I received my first denial for lap band surgery.  While I was told by friends to expect a denial the first time, I am disappointed.  I thought I did everything correct. 

I am now going to appeal, but first just wondering what others experience has been with appeal and humana.

The denial states "available documentation does not indicate that this patient has a primary care physician who has followed her pre-operatively, agrees that she should have the procedure performed, and will follow her post-operatively after procedure is performed."

This to me sounds like maybe some information was not submitted to them.  I did the 6 month supervised diet, and have the bariatric referral form from my primary care doctor.

Any comments?  Thanks.