Question:
As of 5/16/03 criteria w/bcbs fl changed and you need 5 yrs.of being obese but?
How do you go about prooving this they already have 2 years from me and proof from 1999 from me so I guess I will have to get 2000 and 2001 since they already have 2002 and 2003 The criteria changed as I was in middle of an appeal with them but I need to know can the proof be just from 1 visit in that whole year with a doctor or emergency room that has proof of my weight on it all I have is 1 visit in 2000 w/ planned parenthood that has my weight and in 2001 I have a emergency room visit with my weight on it is that enough to satisify insurance? Also do they look at it 5 years being 1999,2000,2001,2002 and 2003 or does it have to be 1998-2003? thank you for any help... — marie M. (posted on May 20, 2003)
May 20, 2003
Hi, I have Aetna insurance, and they also required a five year history.
They just need something from a doctor visit, like a progress note with the
date and your weight. I had to go to four different doctors to get five
years worth. I just had surgery and used 1999-2003. I was denied because I
wasn't morbidly obese for five years. I fought them, and won. Good luck
— Robin T.
May 21, 2003
I ALSO HAD TO HAVE 5 YRS WORTH, BUT DO TO MOVING & SUCH COULD ONLY GET
RECORDS FOR THE LAST TWO YEARS. I FINALLY FOUND A RECORD, JUST 1 PAGE WITH
THE DATE & MY WEIGHT FROM 1986. AFTER I FOUND THIS THEY APPROVED ME (IT
WAS MY 2ND APPEAL) SO IT MUST HAVE BEEN ENOUGH. HANG IN THERE, IT WILL
HAPPEN. GOOD LUCK!
— PATRICIA S.
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