Insurance response

Well, today the coordinator for my surgeon called, and relayed the news. The company has decided to deny my surgery. After nearly a dozen people I work with have had it, they are changing the rules in January... and denied me today... I have no HTN or diabetes or sleep apnea, and thus it is not a medically necessary procedure... This ignores the fact that I'm 180+ lbs OVER my healthy weight, and have arthritis so bad I cannot sleep. It also ignores the fact that I have gallstones, only found when I had preop ultrasounds done. I have devoted MONTHS of my life to this company... I stayed with them after the storms, when it was believed that "all was lost" and that the city might not be able to return... I stayed even though it meant that half my week I live away from my family... I have sacrificed being able to spend every night beside my husband, so that I could have this surgery... I have sacrificed many evenings with my children.... and this is how I am repaid for my devotion... I am so deeply hurt and angry... I want to call and resign and never go back to that place...

Kat... I'm so sorry this is happening! It's surreal! Can you have the surgery BEFORE January 1, 2006? If they are changing it in January, how can they deny you NOW? I've read that people have been approved b/c the benefit is still in place and they still have their surgery AFTER the change of policy date. APPEAL!!!! Please don't give up. You're a trooper! Hugs, Vanessa

I could have it, if I were approved, literally any day now... I was anticipating a date near Dec 10, but now, they can procrastinate 30-60 days from the time I file the appeal request. And that will be after the Dec 31st deadline... so after that I don't know.

the post titled damn insurance companies was supposed to go in this post, but it made it's own. I'm so very sorry

Kat, I am so sorry they are making it difficult for you. I am still hoping that this will all be worked in time for you to have your surgery. Please don't give up without a fight. That's probably what they are hoping you will do. I will keep you in my prayers. Oh, this Sooner In Tigerland changed her name a little --- but it's still me! Hugs, Linda

WOW KAT ,, I am sooo unbelievably sorry,, Gosh I definitly know how you feel to give you life away to something and then it crumble , It is soo upsetting,, I myself have been not doing good lately b/c of the upsetting news about mediciad and not having anymore energy to look for a freakin doctor that takes it,, But there are SO many amazing people on here that are willing to help you find other ways and doctors,etc... So we will help in whatever way we can and do what it takes ,, I'm soooo sorry again

I am so sorry that you are having these troubles. natalie

Kat, I am so sorry that this happened. Please send in a written appeal. I know someone that appealed and then was approved. Also ask your PCP to write a letter and also have your husband write a letter. Mail all the letters together with your appeal letter. Don't give up. Good luck! Lynn J., lap RNY 9/29/04 -155 lbs.

Hi Kat, Sorry it has taken me so long to respond, I am really sorry you are going through this. I know you have done everything that was asked of you. I am praying this will work out. My only advice is fight, fight, fight. Good luck and know I will be thinking of you. JC