Embarassed beyond belief!!
I had to go to my PCP yesterday for a meds check and to talk more about wls. When I got on the scale, I have gotten SO heavy, her scale would not weigh me!! This means for the first time in my life, I am over 350 pounds!! Dr. Wilson saw how upset I was by it, and she said she is not overly concerned about it because the prednisone I just finished, as well as my insulin will put weight on me! If this isn't just one more reason for wls, I don't know what is! If only the stupid insurance company would see this as the disease it is! I do not CHOOSE to be super morbidly obese, nor do I CHOOSE to have a BMI over 50, but that doesn't change the facts as they are. Dr. Wilson is going to write my recommendation letter for the appeals packet I am putting together to send to Gary, and she has recommended I get to the pulmonologist ASAP for the shortness of breath I am suffering from now that the prednisone is finished. The battle continues, and days like today,I just want to give it all up.
I know how you feel, because i have UHC ins through my husbands job, and there is an exclusion and UHC said they will not pay for the surgery no matter if it's medically neccessary or not. I went and applied through voc rehab and they turned me down flat, so i guess i'm stuck in this fat 400lb body, and will die at a early age, because the insurance won't help pay for my surgery.
Amber
Amber...
I refuse to give up! I have too many kids counting on their mom being around for a great many more years! I'm putting it in Gary's capable hands first, and if he is not able to get what I need, I will look to do something else. My oldest brother has had the surgery, and he is alive today because of it!
I know how you both FEEL. I have to weight on the BIG scale and I was mortified the first time. Do not give up the fight.
Amber, did you try filing with the insurance company or did you give up on their say so. I ask because I have UCH myself. I had all my ducks in a row. I have letter from thre doctor on the problems I have to deal with daily. I wrote up the expenses I paid out and the insurance for two years. This is for the 26 pills aday (some twice) and the office visits, hospital bills, etc. Write it all and lay it on thick. I had the surgeon's office file all this and was APPROVED first time. So there is hope. Email me if you'd like.
Linda 
Jason A.
on 7/15/05 2:24 am - Melbourne, FL
on 7/15/05 2:24 am - Melbourne, FL
Speaking as someone who has been through this and worse(I had WLS weighing 520+) I can only say, USE IT!
Every time you feel like giving up remember that feeling. Remember the looks on people's faces as they look at you. Remember what it feels like knowing that you have to be weighed on a cargo scale.
That embarassment helped re-motivate me many times in the past year since I had RNY.
Hello Debi I have a friend who is with uhc and the honest fact is people are ignorant to thefact of obesity especially if they aren't obese,but what she found out at luncheon yesterday speaking to some of the insurance people face to face is that it goes from person to person even if there clause that they dnt cover why pay for insurance if it doesn't meet your needs and also there is different ppo-hmo be careful with that they told her that if she has a supportive enough letter of medical necessity and write her personal letter send pictures have other people give htere opinion htey take it from there I wish you luck I am praying for my friend also she is 30 and her weight is up there also I meet her at the gym sometimes to get her motivated and to motivate myself because I am 1month and 2wks out of surgery and you gothrough more stress trying to get approved and prepared for the surgery than it is to have the surgery . Once again good luck let me knowhow it goes.
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