Roadblock Remedies?

Hope2befree
on 5/16/10 1:47 pm
Hi Everyone,

This is my first posting.  I have visited the site several times since being introduced to it by a young woman in the Surgical Weight Loss Center's waiting area. Reading the posts and looking at the incredible transformations inspire me and make me realize that I need to find a path around, through or over the roadblock that has been placed in front of me.  I reached the place in the process where I met with my surgeon and had been approved for gastric bypass surgery.  Unfortunately, the agency for which I work has changed insurance providers.  The one under which I began the process covered weight loss surgeries but...weight loss interventions are not covered under the policies my agency has selected to purchase with the new provider.  Has anyone run across this situation and had to purchase supplemental insurance? Any tips or cautions about advancing down this path?

Disappointment and discouragement have done a good job at defeating my resolve  but as each day passes now, I feel certain that I am not supposed to passively accept this as my fate.  If anything, this obstacle has strengthened my desire for the surgery.  I have accessed the insurance information on this website and will be following up but I wanted to ask if anyone had anecdotal tips.  Thanks for any suggestions you may be able to offer.
twcamber
on 5/17/10 1:36 am - Rockland, ME
I would have your Dr. submit the paperwork for approval anyway.  Sometimes the wording is confusing and while weight loss interventions are not covered Gastric Bypass may be.  It is worth a try.  If you still have no results there are tons of letters on line regarding how to appeal.  Best of luck.  It is SO worth the fight.  Tracy




Weight includes 21 Pounds lost on 2 Week Pre-op Diet
 




 

Kelly S.
on 5/17/10 2:02 am
Keep on fighting them, like Tracy said have the surgeon submit the paperwork and then you can fight it if it's denied. But if you don't submit it you have nothing to fight.
Yes
on 5/17/10 1:12 pm
The program also has someone that you can talk to about insurance issues. Make sure you tell Dr. T. about this. She may have some suggestions also.
    
31 lbs. lost before surgery!  My goal is 150lbs.  My surgeon's goal is 110lbs.  I just can't imagine that weight right now.  Maybe someday . . .
      
tiggrpt
on 5/17/10 1:36 pm - Sabattus, ME
I agree with the others.  Have the doc submit it anyways and then, if you are denied, file an appeal.  It may be a long/tough road, but it IS worth it!  Good luck!  Wish I had more to offer you!

Ruth                  "It's never to late to LIVE HAPPILY EVER AFTER!"

   
Most Active
×