I am in tears..
I have been crying off and on all day.I just feel sick to my stomach..and I almost couldn't come here to post.I tried to email you Angela but my email has been not sending all day.
Dr.Shina's office called today and when I saw the name on the caller id I got excited thinking maybe it's an approval but it's soon for that to me anyway.I can't remember her name but she was so sweet.She told me that my insurance with my husband's employer pays for WLS but the company has it excluded in all of their plans with Aetna.I was devastated.I called Aetna just to see what was going on..and they said I could call HR at my husband's job to see if they offer any other plans that do not exclude.It was worth a shot.I talked to another sweet lady there (thankfully noone was rude today at least) and she said that all of the plans do not cover WLS of any kind.She said she doesn't agree with it all.She also said that someone that works there had RNY and they had to self pay.That's not even an option for me..I don't own my home or have any way to get a loan of that size.
I don't know what to do.Dr.Shina's person who called suggested trying to apply for state insurance but I highly doubt we would qualify.We don't have a lot of money at all but I think we are over for anything like that.With both of our incomes..
I feel like this is the only thing for me...the only thing that could help me and I can't get it.My PCP and Dr.Shina's office say there is no way I shouldn't qualify and I do but that's not even the problem.I never thought this would happen and I just feel so low.
I don't want everyone to feel sorry for me or bring anyone else down.I feel very happy for everyone here but I just don't know what to do.I had been so happy thinking I could finally be healthy and live life.
If anyone has any advice..let me know.Thanks for always being here!
Shannon,
Since it is open enrollment time for most insurance companies.... I know you said your husband's work did not offer any that covered WLS. But, does he have to PAY for the insurance or is it given to him? If he has to pay anyway. Why can't you just go out and seek a private insurance policy -- one that does cover WLS? At least until all of this is over for you. You can always be added to your husbands policy next year in October/November. Just a thought.
Where there is a will, there is a way. Just keep digging. It will come!! Like people are telling me ---- maybe it just isn't the right time. God has his plans for all of us and maybe there is just something standing in the way right now. Don't give up!!
Hugs!!
Sharee
I can say I know how that phone call felt, honey.
You will find something that will make it work. It may not be next month, but, if it's meant to be, you'll be there in no time at all.
Think of how much further you are now, than when this all started. How many people like us, especially women, just can't get to where we are, or won't seek help?
Good job for you! And the best of luck and warm wishes your way.
K.
Shannon,
I'm really sorry to hear this from you; I know how much you want the surgery. I think the advice to look into private insurances is a good one, especially if your husband pays out of pocket to cover you and your children.
Before my husband was able to get on at his job, we inquired about private insurance with BCBS and I'll admit, I was pleasantly surprised at how little it would cost for him. (Even with his size--he's a big man too--it was only going to cost around $130 a month)
I know that sounds like a lot, but if you consider what you are paying monthly for family coverage, you'll see there probably isn't much difference between him covering you and you covering yourself.
I hope that it works out best for you and you are in my prayers; hang tough and know that when it's meant to happen, it will.
Take care in the meantime--
Dee
Oh honey, I am so sorry u couldn't get me when u needed me. Alltel in Etown flooded and we didn't have phone or dsl all yesterday. It finally came back on this morning. Don't give up! There has to be something. I know a obesity lawyer that has been successful in getting some exclusions overturned. His name is Gary Viscio. Go to find a member, in that box, type in Viscio, then go to Gary Viscio New York, he's had the surgery and he wants everyone to be able to have it. Talk to him. See what he can do. Pray! God can do anything.
Take care and I'll be gone to take my stepson back to Bowling Green, Adams aunt back to Elkton Ky this afternoon. If u need me email me, I will check when I get home late tonight.
Hugs
Ange
hi shannon iam new to this board just got my surgery sept.15 but went though the same problem you did took 2 years to get though to my insurance that i was in a life lthreatening condition that was the only way that they would do the surgery i had all kinds of dr. reports and had been in and out of the hospital with copd and still each time they would come up with something like need prove your sugar has been high for six months or that my blood pressure was out of control my poor dr. fax so many papers trying to help get them to aprove it i just got fed up a girl that works with my husband told me about the obesity law.com i call and they were going to help fight my appeal its 850 dollars but they let you make payments i was going that route but all at once my insurance told me to resend everything and they look at it one more time and i was very surpised to come home and find that they had approved me just hang in there and keep your head up i believe all things come in Gods time i was very impatient person but with all the waiting i had to do i have learned to wait on God and it works out my surgery went great and i am feeling better just keep on to your insurance and get your drs. to write letters for you i had about giving up until in jan. when i was in the hospital a heart dr. told me this is it you cant go on and he wrote a letter to my insurance stating it was life threatening and everything just started working out in Gods time. i hope this is of some help .....keep you in my prayers mary
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