first denial letter

tammy_t
on 1/21/09 11:37 am
I didn't think it would happen. Lots of people told me that I would be denied at first, but I didn't want to believe them. Now I'm depressed and want to start smoking again!! I don't know how to deal with this. It states that there isn't a history of my BMI at greater than 40 for 2 years or more. Do they not understand that I have been at this risky weight for 20 years?? I couldn't even talk to my husband about the denial letter. And he's my biggest supporter, my best friend. I just needed to vent some frustration. I've got a long road ahead and not sure how I'll make it.
(deactivated member)
on 1/21/09 9:06 pm - Des Moines, IA
Hi, I'm sorry to hear about the denial.  Did you have to submit records of previous visits to your Dr.  that would have your weight records?  Talk to your surgeon and see what the next step is in regards to an appeal.

Good luck and don't start smoking.  You want to be healthy!
carolia
on 1/22/09 10:18 am - IA
Hi Tammy,

Oh, don't give up and don't start smoking..............please!!!!  Just appeal the insurance decision and it shouldn't take that long to get another decision.  I have to tell you, someone I work with told me that when you appeal insurance decisions for the second time, it goes to an outside, independent firm and they always approve it.  Some place called "cheddar" like the cheese but I am not sure how it's spelled.  Anyway, no insurance company wants "cheddar" to get involved so they approve requests if you appeal it a second time.  Hang in there and keep trying..............delays are not the end of the road, remember!

Keep posting and focus on your goal............we're here for you!

Carol
kep00_98
on 1/23/09 1:19 am - Panora, IA
Just like everyone else said don't get down.  I got denied the first time too.  I was just like you.  I wanted to give up, but I had a lot of support here and from my family.  And paid off.  I was just banded yesterday.  So just keep going.  Appeal the denial and if worse comes to worse start all over again.  You can do it and you will get there.



285-Highest
256-Day of surgery
225-First goal
susie51r
on 1/27/09 2:57 am - Belmond, IA
I got my first denial letter also, except 3 dr's told me that they thought I would have no trouble. Try to stay positive. I went to my first support group last night and it helped a great deal. Also, communicating with the Dr's office is very important. Keep up your spirits, then get angry and keep plugging away! 
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