Question:
Did anyone's insurance use a large body frame guideline for them?

I got a denial letter from Blue Choice.. they say .. Im not fat enough for the surgery!! hahahah.. that has got to be the funniest thing I have ever been told in my life!! Anyone have trouble with the insurance company like this? The doctor's office thinks it's because they used guidelines for a large framed person .. and I am a medium frame.. I sent the appeal letter last Friday. Did anyone else have this problem?? -- audra howard    — audra H. (posted on December 12, 2000)

December 12, 2000
That is really bizarre. Did they actually say their criteria are based on a large body frame? I know some insurance companies require you to be double your ideal weight to get surgery. Maybe that is what they are going on? In any case, I would appeal. The medically accepted criteria for WLS is based on your BMI, not on some out-of-date insurance weight tables anyway.
   — Lynn K.

December 12, 2000
Hang on in there audra. I don't know what determine if you are fat enough your bmi is over 40. Good luck to you I hope everything turns out fine. Happy Birthday to you. And hopefully happy new you.
   — Sharon T.

December 12, 2000
Hang on in there audra. I don't know what determine if you are fat enough your bmi is over 40. Good luck to you I hope everything turns out fine. Happy Birthday to you. And hopefully happy new you.
   — Sharon T.