Feeling Down
Well, I am playing the waiting game, I have all my info together and am waiting for the insurance company now. I know I will get a rejection letter, there is an exclusion in my policy and that is so depressing. But I have to get the rejection letter to be able to have something to show the plan administrators. I knew it would be a LONG, hard road for me to to even have the possibility of having WLS surgery, but I wasn't aware how draining it would be. I went into this with alot of "fight" in me, and I have written so many letters and made so many phone calls and I am kind of at a dead end now. SB 97 (mandates coverage for WLS) is sitting in committee, no date on hearings yet, and I know that is really my only hope right now. I have played with my budget until the calculator screamed mercy and there is just no way I can afford to do it without insurance coverage. I guess I didn't realize I was even getting my hopes up while I was getting all of my paperwork together, but the when I mailed it back to the surgons office I caught myself thinking how great it was going to be to actually have the surgery like it was a real possibility. And I guess I have to admit too, since I am whining, a friend of mine got her ok in the mail today, and she dosen't even want to have the surgery, all it took for her was a couple of days and she had the approval. I hate it when that jealousy surfaces, and I think that is the main reason I am so down right now. Oh well, it is good to vent, I am grateful for all of you, I am a daily lurker, but should become a daily poster!
Hello Amy....I am so sorry you are having such a bummer night!!!!! Your are more than welcome to come here and vent anytime.....There are so many people that really needs WLS or desperatly wants it that can't because of all those clauses in the insurances ......There is hope some will change but I know some will not.....We will keep you in our prayers....You keep coming here and letting us know how your doing or venting anytime you want to.....Take care...God Bless....Hugs....Tammy H.
Amy anytime you want to vent this is a good safe place to do so at. That is what we are all suppose to be for. Thanks for feeling like we here for you because we are. It isnt right that insurance companies exclude wls and include other electives. but that is what that bill in congress is for . Hopefully that it will get passed one day.
We love and care about you. Jan
I'm sorry you are struggling but please don't give up. I fought for 2 years before the door was opened for me.
We need to get EVERYONE supporting SB 97-writing letters ,calling and emailing. Actual letters are better than emails and the committee will want to hear success stories,include pictures.They also need to hear people who need the surgery who are being denied and how it is effecting their lives.
We have to fight for our rights. Even those who have had surgery can help,so can your family and friends can show support by writing.
I wish you luck and I will definatley be showing my support. I went to the hearing last year and spoke to the committee.There were only 3 of us against a roomful of insurance reps. We need to organize this "movement" and show that we wont be denied anymore.
You are in my prayers,
Dannielle
Dear Amy,
I am so sorry you are going through this! I, too-had to wait and wait and was denied 4 times before finally having a door opened for me. I had the BEST insurance you could get through Freeman Hospital in Joplin and it was an exclusion to-can you call the insurance company-say every couple of days or so and bug them so they will get that letter out to you faster? Then you can head to the administrator with it? Maybe they can overturn it and allow it for you? Honey, I am going to lift you in prayer AND put you on the prayer list-something will come through...God knows whats in your heart and how bad you want this-we will help you fight for it-maybe we ALL need to go up and speak in front of the committee-no 3 against 300 here-we can kick butt and take names and show them!!!!
I dont think that you are bad for having the feelings about the friend getting approved that doesnt need it....I had a hard time too-because it seemed like everyone was getting their approvals OR surgery when I was still fighting for the approval myself. I was very happy that they had gotten approved and had surgery, but very sad that I needed it so badly and couldnt get it. I think its more of a disappointment thing than a jelousy thing....Its not like you want her car-you want something thats going to change your life for the better-forever.
Please start posting and letting us know whats going on with you. I will help you in any way that I can. Maybe all of us here in the Neosho/Joplin/Diamond/Carthage area need to get together and help you figure out how to get this done? I know Dannielle-Mel and I would be more than willing to help you out. Take care and if you need anything-let us know. Love and Prayers, Janet
Wow...thanks so much for the words of encouragement. Today is a better day...thank goodness! The power of prayer is amazing!!! I just have to keep looking at the big picture! I am ready to make a trip to Jeff City, I have files and files of research to back our argument!! Thanks so much for all your prayers and support, while my husband is amazing he can not be expected to understand this roller coaster like you all do. I appericate you all so much! Amy
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