Change in insurance - I am so depressed!

charw408
on 3/12/10 8:39 am - Newark, DE
This is my first post and I need some support.  My insurance coverage changed after Jan 1 and I am going to have to postpone my surgery indefinitely. It is only covered at 50%, and no out of pocket max applies, so I have no idea how much I would have to pay. I just know before I was looking at $1000 max, and now it could easily be 6 times that if not more- no one knows. I am finishing my 6th nutrition  class but cancelled all my clearance appointments and don't know what I am going to do. This was my last hope. I have been getting heavier and heavier for 20 years and I am exhausted all the time and everything aches. I can't garden or play with my kids. Half the time I can't even go shopping because it's too hard to walk around for long. I cry all the time. It's all I can do to drag myself out of bed and go to work every day, and I come home exhausted and barely functioning. My husband tries to be supportive, but I am not sure he knows how bad I feel. Help!!
Elissa H
on 3/13/10 9:14 am - Wilmington, DE
Sorry you are having insurance issues. Please email me your email addy, I will send the current support grop list in Delaware. If you can make it to a meeting you will find that alot of us have had similar issuea and some hints on how we dealt with it. Next mtg is at Victory Church in New Castle next to Walmart, Rt 40. Tuesday evening 7pm.  My email is [email protected]((HUGS)) Elissa            

Try to stay focused & positive. Took me over a year to get ready for surgery. Meanwhile I had over a year to do my research and get myself into my WLS journey. 6 years have gone by and it has been great to get healthy. Hang in there.
Rob S.
on 3/15/10 3:22 am - DE
You must have Blue Cross insurance.   They have changed their payment plan so they only pay for half the surgery now.  The doctors are meeting with several of the large companies who use Blue Cross to see if they can get them to reevaluate their new positions.  Don't expect anythng to change in the short-term.  I expect other insurance companies will follow suit as soon as they see the short-term savings they are reaping.
charw408
on 3/15/10 9:06 pm - Newark, DE
Thank you to both of you for responding.  Rob, interesting about the doctors meeting with the insurance company. When I called BC, I was told that only certain groups chose this coverage position, and my husband works for a smaller group. I can't imagine it saved them that much! Ironically, I work for a different insurance company that I don't even use for my coverage because it's worse, I think. Keeping my fingers crossed...
DonnaN2010
on 3/17/10 10:51 am - Wilmington, DE
I am new to the forum and saw your post....I am so sorry to hear this news!  I am 11 days pre-surgery and I have yet to here if my procedure has been authorized.  I too have BCBS, but my husband's employer is based in IL, so medical policy is governed from IL......I am so nervous now, reading your post.....definately gonna call the surgeon's office tommorrow to get a status report.....
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