Thread Starter

Thank all of you that prayed for me and who were just as anxious as I was, but no, I was DENIED! The reasons they gave was a bunch of mess. My BMI was a 40.6, for the past 4 out of 5 years it was a 40, besides now I have high blood pressure which I am now taking meds for, along with acid reflux. Don't know what happened. I called the insurance co to see why they denied my approval they said, because my BMI was below 40 with no comorbidities. Come on the paperwork is right in front of you, I had 2 doctor letters of recommendations stating all these facts, the letter from the surgeon stating that my bmi at that time was a 40.6 and that my blood pressure was high then too. The insurance co also stated that no psych eval was done, no nutrionist eval was completed, which is all false. I was in the surgeons office on yesterday for my group eval, when I was given this news. The clerk there showed me my packet everything that was sent to the insurance co. Nothing in that packet showed my bmi below a 40, the letters from my PCP was there, the psych eval was there, the nutritionist eval was there, WHAT WAS THE INSURANCE CO LOOKING AT? Well, they told me that they were going to do a (PCR) patient courtesy review. I should hear something Monday. I told the insurance co, someone is either falsifying info on my paper or someone is not doing the review. Based on the BCBS policy I meet all requirements. I don't know what else to do. Guess I will be appealling.