Question:
What kind of suggestions can you give me for starting the predetermination over again

I have exhausted all appeals and have gotten some new insight as to what my insurance is looking for after going through the insurance department. I now weigh 203 lbs which brings my BMI between 38 & 39 and I have made an appointment to see my surgeon again. I will see him on 9-26-03. What do I need to include this time around?    — CINDY D. (posted on September 8, 2003)

September 8, 2003
Cindy, Why do you think going through approval he!! will produce any different results this time? Did you find something out that will make the difference? Otherwise I'm not sure it's worth the aggravation. I know you want WLS but your energy might be better put to use on something else. <p>If I was you I would have a written out detailed diet history that includes diet type and approx. when you did it and for how long and approx. lbs lost. Also reference if it was doctor supervised and list that doctor's name. Also put together a detailed medical history so that the insurance reviewer can see the big picture. My surgeon picked 3 co-morbs to use but it was just the tip of the iceberg and 2 of them were not that bad as far as I was concerned. When BCBS came back and asked for the detailed diet history I also sent them my 2 page spreadsheet of medical conditions and surgeries. I figured it sure could not hurt. Good Luck!
   — zoedogcbr