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When I started this process back in May 2008, I was told from my insurance co. that surgery was covered if medically needed. My doctors and everyone involved stated via letters that surgery was medically neccessary. Now I have been denied and the insurance co. states that bariatric surgery isn't covered under the type of insurance that I have. I know I need to appeal, but what needs to go into an appeal letter? Does anyone know of sample letters that I could follow? Do I have all my doctors write a letter again to the insurance co? Please help.
Michelle....how is the liquid diet going? Are you ready to bite someone yet? Your pre-op sounds pretty tame compared to some I've heard! I love butterfly needles....well, not that I really "love" ANY needles, but compared to the other ones, the butterflys are much better. Your big day is less than a week away!!!!!!! How are you feeling?
Pre-op wasn't that bad, they took 10 vials of blood using a butterfly needle(and not in my wrist), so that took maybe 5 minutes and then I got to pee in a cup, that was super fun!
Went then down to ultrasound to have my liver, pancreas, stomach and gallbladder looked at, took about 20 minutes, they take a LOT of pictures.
Got to go back upstairs to wait to meet with the surgeon and all the other peeps. Got my cool breathing toy and soap along with some more instructions for surgery, then got to go downstairs to meet with the people that put me to sleep and go over more stuff....I think I hit it all!
I really enjoyed your post. It sounds like you really do have a good and busy life. I really could go on and on about your post but I will cut it short and just say thanks. There is a lot in there for us newbies to think about. Keep us all posted.
Thanks again, Candi
I just had my surgery on December 1 and it was done at Genesis in Davenport. I was treated like a queen! The nurses at Genesis were the best nurses I have ever dealt with. They treated me with tender care and knew all about my surgery and my limitations/expectations. I only seen my doctor 2 times during my 2 night stay. But it was the nurses who took the best care of me.
The Bariatric Center also has great staff to help you along your journey. From the first day of my journey, back in May.. the staff has been there to answer any and all my questions and even went to bat up against my insurance company for me when I initially received a denial letter.
I can't tell you anything about the other hospital, as I never considered a different one.
I hope this helps you in your tough decision process!
OK, so you have to tell us all about pre-op now! Did you have to do the blood test that they take out of the artery in your wrist that hurts like heck? I guess it's a blood gas test or something like that. I've read about it on some people's journals, and I think I'd be more nervous about that than just about anything. I'm kind of a woos about blood tests anyway. :-)
Well, I hope you got some rest after all that. Is your family taking your somewhere nice for dinner before you have to start that liquid diet? LOL....Hang in there!
On episode 6, we answer a few questions about vitamins, discuss WLS Puberty, and recommend a product that will help smooth out the lumps after weight loss.
Come check it out and join the fun
www.bariatrictv.com
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