Question:
DO ANYONE HAVE CAROLINA SUMMIT HEALTHCARE

I AM WAITING ON APPROVAL FROM THEM. I HAVE BEEN TURNED DOWN ONCE BECAUSE THEY SAID I DIDN'T HAVE SUPPORTED INFORMATION OF DIET AND EXERCISE PLAN AND THE INSURANCE LOOKED AT IT AS A WEIGHT LOSS ISSUE ONLY. MY WEIGHT IS 285 LBS AND I HAVE A LOT OF MEDICAL PROBLEMS. TO MAKE A LONG STORY SHORT, MY PCP SENT A LETTER STATED ALL OF MY PROBLEMS AND FAILURE OF DIET AND EXERCISE THAT I HAVE ENGAGED IN DIDN'T WORK FOR ME. HE STATED THAT GASTRIC BY PASS SURGERY IS NECCESSARY AND WILL PROLONG MY LIFE. THE SURGENT OFFICE RESUMITTED THE CLAIM AND NOW I AM WAITING. I HAVE HAS ALL THE OTHER REQUIREMENT FULLFILLED AS FAR AS THE DIFFERENT DOCTORS YOU HAVE TO SEE BEFORE GOING THROUGH THE SURGERY. IF THERE IS ANYONE OUT THERE WHO HAS CAROLINA SUMMITT THEN HELP ME TO KNOW WHAT IS MY CHANCES OF GETTING APPROVED BY THEM.    — LINDA H. (posted on February 19, 2004)

February 19, 2004
I don't know about your particular insurance, but most insruances will require a BMI of over 35 with medically documented co-morbidities such as high blood pressure, sleep apnea, diabetes, ortho diseases/joint issues, etc; or a BMI of over 40 with no co-morbidities. Some insurances require a 5 year medical history of being obese. It is getting more and more difficult to be approved for this surgery because it is in such high demand. Hang in there, and good luck!
   — Shayna T.