Bummed
So I'm feeling pretty bummed right now. I found out this morning that I am probably going to be denied by my insurance, UHC, for my lapband. I have called them many times and they told me that my pland doesn't require a 5 year history of a BMI of 35 or over. Which I dont have because I havent been to the Dr. every year for the last 5 years..Well now that my paperwork is submitted they are saying that they need this, well I dont have it, and now on top of that they are saying that I have to be 21 (I am 20) which they NEVER even mentioned before! Grr I am so upset.
Hi Bethicle,
I am sooo sorry to hear about your possible denial. When will you get an answer for sure? For some of us this WLS is long a painful process and this is BEFORE you even get on a operating table. But I hope you won't let this get you down. I'm sure it will happen for you when one day. So please keep your head up stay positive....and don't give up! I will keep you in my thoughts and prayer. <>
Thanks so much, I dont know when exactly when I will get my denial, they have to mail it to me, so probably in a week or two. I am going to call them tomorrow, I guess I have a teeny tiny hope left. But I guess when I get a denial I will just try and appeal, but I might have to wait till im 21 so I might have to wait till July to appeal which really really sucks.
So its official, I have been denied. I called my insurance and they said I was denied because I did not submit a 5 year history and that I am not quite 21. I just felt like crying, I dont know how people can fight this for years.
So now I have to appeal, I am just crossing my fingers that this work. I have documentation of UHC telling me that I do not need a 5 year history and that I do not need to be 21, so hopefully that will help.
Thanks for all your support.