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Old 04-17-2011, 06:17 PM   #1 (permalink)
WLS Guru
 
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Join Date: Jan 2011
Location: South Chesterfield, VA
Posts: 480

Weight Statistics

1/21/11
Start Date:
8/30/11
Surgery Date:
5' 4"
Height:
302 lb
Start Weight:
208 lb
Current Weight:
145 lb
Goal Weight:
94 lb
Weight Loss:
63 lb
Lb Left to Lose:
31.1258278146 %
% Lost:
Labor Day 2012
Goal Date:

Body Mass Index
51.8325195312
BMI Start:
35.69921875
BMI Current:
24.8864746094
BMI Goal:

Weight Loss Method
Sleeve Gastrectomy
Question Getting Close

I am close to having finished all the requirements set forth by the insurance company. On Thursday, 4/21, I will be finished with the 3-month Weight Watchers requirement. I am curious (nervous) that I could still be denied. What are some reasons an insurance company may deny? How long did it take for everyone to get the approval/denial? Do insurance companies have an appeal process?? So worried...can you tell?
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Loretta Pully

Start Weight: 302 Pre-Op Diet: 275 Surgery Weight: 268
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Alt Weight Loss Surgery Insurance
Yes, you can often get insurance cover for your Weight Loss Surgery.
Our own Craig "Big-T" Thompson has been there and done that, and he's written an e-book about it.

   
Old 04-17-2011, 07:06 PM   #2 (permalink)
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Join Date: Oct 2010
Location: S. Jersey
Posts: 2,481
Blog Entries: 4

Weight Statistics

?? Most recently Oct. 2010
Start Date:
January 31 2011
Surgery Date:
5' 9"
Height:
342 lb
Start Weight:
194 lb
Current Weight:
189 lb
Goal Weight:
148 lb
Weight Loss:
5 lb
Lb Left to Lose:
43.2748538012 %
% Lost:
no pressure... 1 year? 1-2012
Goal Date:

Body Mass Index
50.4990548204
BMI Start:
28.6456626759
BMI Current:
27.9073724008
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

I made a list of requirements and crossed each appt, test whatever "off". THe surgeon's office sent in to the insurance and I was approved in 4? days. I think they
called me and sent me a letter confirming it. I had no problems getting approved but I did everything asked of me. I believe my surgeon's office had someone who knew
exactly what to do.. so ask! Someone coordinates all of that, knows the different
companies, etc. I have heard there is an appeal process if needed.
Good luck.
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Old 04-17-2011, 07:40 PM   #3 (permalink)
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Join Date: Apr 2010
Location: Georgetown,TN
Posts: 2,278
Blog Entries: 6

Weight Statistics

way to long to remember!!
Start Date:
12-09-09
Surgery Date:
5' 4"
Height:
282 lb
Start Weight:
125 lb
Current Weight:
150 lb
Goal Weight:
157 lb
Weight Loss:
-25 lb
Lb Left to Lose:
55.6737588652 %
% Lost:
I just want to be healthy
Goal Date:

Body Mass Index
48.3999023438
BMI Start:
21.4538574219
BMI Current:
25.7446289062
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Send a message via MSN to yvonneiam
Default

My surgeons office made sure I did everything that was required from the insurance company(from the first day I attended the seminar)I had to do six months medically supervised diet.When my paperwork was submitted to the insurance company I was approved within 2 weeks.I drove myself crazy thinking I was not going to be approved,the mind games are the worst!!Good luck and keep us posted
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Old 04-17-2011, 08:13 PM   #4 (permalink)
WLS Guru
 
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Join Date: Jan 2011
Location: South Chesterfield, VA
Posts: 480

Weight Statistics

1/21/11
Start Date:
8/30/11
Surgery Date:
5' 4"
Height:
302 lb
Start Weight:
208 lb
Current Weight:
145 lb
Goal Weight:
94 lb
Weight Loss:
63 lb
Lb Left to Lose:
31.1258278146 %
% Lost:
Labor Day 2012
Goal Date:

Body Mass Index
51.8325195312
BMI Start:
35.69921875
BMI Current:
24.8864746094
BMI Goal:

Weight Loss Method
Sleeve Gastrectomy
Default

Thanks for the replies. Seems the insurance company may reply in a decent amount of time. We do have a lady that works with the insurance companies and she has been really good at telling me what to do. She also provided me with a checklist...and I'm about the check off the last requirement!
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Loretta Pully

Start Weight: 302 Pre-Op Diet: 275 Surgery Weight: 268
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Old 04-17-2011, 08:49 PM   #5 (permalink)
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Join Date: Jan 2011
Location: New Hampshire
Posts: 225
Blog Entries: 3

Weight Statistics

January 31,2011
Surgery Date:
5' 3"
Height:
310 lb
Start Weight:
209 lb
Current Weight:
135 lb
Goal Weight:
101 lb
Weight Loss:
74 lb
Lb Left to Lose:
32.5806451613 %
% Lost:
2/2012
Goal Date:

Body Mass Index
54.908037289
BMI Start:
37.0186444948
BMI Current:
23.9115646259
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

Good luck!! Keep us updated!
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Old 04-17-2011, 10:28 PM   #6 (permalink)
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Location: Tokyo, Japan
Posts: 24,793
Blog Entries: 9

5' 5"
Height:
Default

Congrats, good luck!!!
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Old 04-18-2011, 07:15 AM   #7 (permalink)
WLS Master Guru
 
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Join Date: Mar 2011
Location: Indiana
Posts: 547
Blog Entries: 23

Weight Statistics

June 6 2011
Surgery Date:
5' 3"
Height:
230 lb
Start Weight:
180 lb
Current Weight:
135 lb
Goal Weight:
50 lb
Weight Loss:
45 lb
Lb Left to Lose:
21.7391304348 %
% Lost:
?
Goal Date:

Body Mass Index
40.7382212144
BMI Start:
31.8820861678
BMI Current:
23.9115646259
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

I understand how you feel. I have my last wls appt. Thurs. then I will be waiting for insurance approval. I feel sick when I think about the waiting time I have a checklist from my ins. company and have done everything and they have been great at the bariatric clinic. I was told I could be approved in 2 days or up to 6wks. LOL, I am nervous too. Keep us posted and I hope they approve you fast
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Old 04-18-2011, 10:03 AM   #8 (permalink)
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Join Date: May 2010
Location: Boston
Posts: 267

Weight Statistics

1/14/2010
Start Date:
04/14/2010
Surgery Date:
5' 3"
Height:
292 lb
Start Weight:
196 lb
Current Weight:
164 lb
Goal Weight:
96 lb
Weight Loss:
32 lb
Lb Left to Lose:
32.8767123288 %
% Lost:

Body Mass Index
51.7198286722
BMI Start:
34.7160493827
BMI Current:
29.0481229529
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

Hey try to not worry too much. I was in your boat last year. I met with a surgeon (1/14) before I did anything else. She said I looked like a good canidate and started the process. From there it went quickly. I had been on WW for years and had also done phen-fen. So that met the time requirements. I had my surgery on 4/14. I did everything they asked and the insurance approved me no problem. Good luck...
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