Playing the insurance game

doxielover
on 8/18/08 5:14 am - Winona, MN
Well, Mayo Clinic called me and said my insurance company wants a second opinion from a surgeon outside of the Mayo Clinic.  Can you believe this?  I called the Gundersen Clinic in LaCrosse, Wisconsin and I can see a surgeon this Friday already.  They want my records, (understandable) but also,when I attended Weigh****chers, how many times, when I was on Phen Phen, My exercise routine, how many dieticians I have seen and when,  and any other weight loss programs I was on in my life time.  My gosh, I am 59 years young, but I can not give them dates on all of this stuff.  I can hardly remember last  week.  I went through all of Mayo's hoops and appointments and thought I was done with all of this stuff, but now Gunderson Surgeon wants more.  I am getting ready to throw in the towel.  Is this what they are hoping we do?  Get disgusted and give up??                           
lafoster
on 8/18/08 5:45 am - Rosemount, MN

actually i do think the insurance companies do count on people giving up - so fight the fight - you can do this!

 

 

doxielover
on 8/18/08 5:58 am - Winona, MN
Oh I intend too but it seems like so many appointments with this person and that person.  It gets on my nerves sometime, but I am a trooper and I will go forward
Connie D.
on 8/18/08 6:31 am

Whatever you do do not give up!!  Fight like hell!!

Take it one step at a time. Make some calls if you need to. Take a deep breath or two then continue on. Give it your best shot.You will be so glad you did.

Good luck....keep your eye on the prize!

Hugs, connie d

doxielover
on 8/18/08 7:05 am - Winona, MN

Seems all I have been doing is making phone calls.  Called the insurance company, said to just go see a surgeon.  Made an appt in Winona with a surgeon who does NOT do any bariatric surgery let alone get involved with it.   Then got to thinking, nope, I am not gona play their game.  Just go and see a surgeon, and then they'd come up with - oops we meant it had to be a bariatric surgeon, so I canceled that, got hold of a  surgeon in Lacrosse, called back to Mayo, got my records faxed to me-   So, now I wonder what their excuse is going to be.  I keep looking at all the success stories on this board and I want a success story too.   It's a coming!!!!!! Jan

Connie D.
on 8/18/08 10:50 am
You will have a success story to tell too!!

It will come!! 

Hugs, connie d
Cinnamon1
on 8/19/08 1:54 am - MN

I to had to fight with my inusurance company.  I had to have the insurance coordinator from PNC call my insurance and speak with the medical director and prove my need for the surgery.  They did finally agree with her and told her that she had won.  Before all that I was in tears because when I had found out that I was denied, I said to myself I have done every thing that I was supposed to do.  All I can say is keep your head high and fight the fight!  You will get there!!!  I now have a surgery date set for Sept. 2nd.

doxielover
on 8/19/08 2:13 am - Winona, MN
I know I am not the only one who has insurance issues.  But it does get frustrating.  Glad to see your insurance ok'd your surgery.  Good luck in your journey.  I am hoping to be following you soon.
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