INSURANCE CAN REJECT YOUR CLAIM AT ANY POINT

SELIN N.
on 6/7/07 9:19 am - E. SANDWICH, MA

STORY GOES LIKE THIS, MY SURGERY WAS SET FOR JUNE 18TH...I RECEIVED A CALL FROM MY DR.'S OFFICE ON WEDNESDAY (YESTERDAY) THAT THE INSURANCE COM. DENIED MY CLAIM AND WONT PAY FOR THE SURGERY.   A DR. FROM MY INSURANCE CO. HAD PICKED UP THE PHONE AND WITH A QUICK YES OR NO CHANGED MY LIFE AT THAT MOMENT....NOT JUST MY LIFE BUT MY FUTURE AS WELL....I WAS AT WORK AND FOUND OUT MY APPOINTMENTS WERE CANCELLED AS WELL AS MY SURGERY LESS THAT 2 WEEKS AWAY. MY DOCTORS OFFICE TOLD ME WHO CALLED AND WHAT WAS SAID..I GUESS I HADNT MADE GOOD ON ANY NEW REQUIREMENTS ADDED ON SINCE I HAD STARTED THE PROGRAM IN DECEMBER. HIGHLY UPSET I CALLED MY INSURANCE CO. AND LEFT MESSAGE OVER MESSAGE...WITHIN AN HOURS TIME I SOMEHOW....GOT BLESSED AND REACHED THE DOCTOR WHO HAD MADE THIS LIFE CHANGING DECISION FOR ME. AFTER ARGUING FOR ABOUT 5 MINUTES STRAIGHT I STARTED CRYING...NOT JUST CRYING I MEAN WHALING...I COULDNT HELP IT...I COULNDT EVEN TALK....AS WE BOTH STOPPED ARGUING FOR A MOMENT WORDS CAME OUT OF MY MOUTH SOOOO HONEST I HAD NO IDEA THEY WERE EVEN COMING OUT.... I TOLD THE LADY I WAS SPEAKING TO...I HAD BEEN OVERWEIGHT ALL MY LIFE...HAVE TRIED EVERYTHING THERE IS, EVERY DIET THERE IS....HAVE WALKED AND EXERCISED SO MUCH, TOO MUCH, SO MUCH THAT I HAVE HIP JOINT PROBLEMS NOW....I HAVE HAD MY HEART SET ON THIS ONE ANSWER FOR OVER 6 MONTHS NOW AND HAVE BEEN FOLLOWING THE RULES TO THE T...I AM A SINGLE MOM, HAVE GOT MY SON SITUATED FOR THE SURGERY, MY HOME, MY JOB AND ANYTHING THERE IS TO THINK ABOUT IT...AND WITH ONE PHONE CALL , THIS WAS TAKEN AWAY FROM ME JUST LIKE THAT..WITH ONE WORD...DENIED....SHE LISTENED...SHE HEARD ME...SHE HELPED ME AND MADE THE PHONE CALL TO MY DOCTOR AND APPROVED MY REQUEST.  SHE HEARD MY PAIN THREW MY TEARS AND WORDS AND FOR THIS I AM BLESSED.... SHE CALLED MY DOCTOR AND THEN CALLED ME RIGHT BACK...STILL CRYING I THANKED HER LIKE SHE JUST SAVE MY LIFE.  I CALLED HER AGAIN TODAY AFTER MY FINAL APPOINTMENTS AND I TOLD HER, I WILL BE COMING TO NC WHERE SHE RESIDES TO GIVE HER THE BIGGEST HUG I COULD GIVE. ANYWAYS...MY SURGERY IS SET AGAIN FOR MONDAY JUNE 18TH...AND I AM KEEPING MY FINGERS CROSSED.....BUT TO ANYBODY WHO KNOWS ANYTHING ABOUT BEING REJECTED....DONT GIVE UP...KEEP GOING UNTIL SOMEBODY ACTUALLY LISTENS TO YOU AND UNDERSTANDS HOW YOU FEEL.... THANKS FOR LISTENING....SELIN

marieh
on 6/7/07 8:36 pm - So. Easton, MA
Selin I'm AM SO HAPPY FOR YOU!!  :)  This is truly wonderful news! Doubly so, that it's good that we have proof that there ARE still some nice people in this world! Congratulations on your new beginning coming up in a few weeks!!!  Marie


 

        
DDBEAR458
on 6/7/07 10:00 pm - WORCESTER, MA
WOW!!!!!!!!!!!!!!!!!  WHAT A WONDERFUL STORY.  GOD BLESS YOU AND THE BEST OF LUCK.
Lynnzie22
on 6/8/07 3:14 am - MA
Oh My Goodness my eyes were welling up with tears until i read ther part you got approved. Great story but sheesh why couldnt the dr just approve you in the first place instead of putting you through all that. Congratulations and best of luck to you hun
SELIN N.
on 6/8/07 8:21 am - E. SANDWICH, MA
thanks everyone...i was a mess that day for about an hour straight...couldnt talk to my customers or anything...but it worked out...still keeping my fingers crossed.....thanks again...hopefully only 9 mmore days to go.....yahoo!!!
msloriann
on 6/10/07 9:55 am - Taunton, MA
Many, many Congratulations!  You went for it, and you GOT it!!! 
Lori Ann
[email protected]
pre-op lap RNY
336/ 298/ 136
lindie
on 6/15/07 6:59 am
Best wishes on your upcoming surgery. I'll be sending good vibes your way on Monday. You go, girl! Lindie
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