Bummer. Every time I see you've posted I get so excited that maybe it'll be the post we've all been waiting for - that you have a surgery date! When I went to my PCP to ask for the WLS referral, he told me he would probably have to document my efforts. Basically, all he did was ask me to provide a list of dieting efforts with approximate dates & results. When the ins. company called to tell me I wouldn't get a consult, I told them that I had tried everything, and I had proof for the past 10 years (Meridia & Phen-Fen prescription receipts, Jenny Craig receipts, WW food diaries, gym membership receipts, etc.). If that wasn't good enough for them, then they needed to rethink their rules! 2 hours later they approved the consult - I was told that once they approve the consult, you are 99% sure the surgery will be approved. This is Blue Shield of CA.
Once you go through the grievance process, and exhaust all options, if you still don't get approved, can you change ins. co.'s?
Good luck, we are still rooting for you!
ann
