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Insurance company denied weight loss surgery. Has anyone had this happen and then later approved?


Just asked primary physician for referrel and got denial letter a week later saying that I don't have severe enough cardiopulmonary disease, diabetes or sleep apnea. That my current high blood pressure and hypo-thyroidism are being managed well with medication.

I have not had this happen to me, but I know a few people who have had the surgery. Whether your insurance company grants you permission to go ahead with surgery, you have to meet their criteria. You need to know exactly what their criteria is, and then speak with your general physician who will try to help you or counsel you against surgery if they don't think it is reasonable for you at this time.

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