DENIED

momto3boyz
on 11/20/08 9:45 am - Hampstead, NC
I found out today that I was denied by my insurance company for tummy tuck/hernia repair. The reason was I don't meet their criteria yet. They said I need to be 18 months and stable weight. The doctors office is filing an appeal. Not what I wanted to hear since the hernia is really bothering me as of late. Crossing my fingers.. On an up note I got my hair done today. Went with lots of highlights and cut. I am not so sure of it yet.Guess it will have to grow on me.


Melissa

 
 429/395/225/184/185 6' height

1st dr appt/surgery/dr goal/current/my goal

Band to DS
on 11/20/08 10:02 am, edited 2/4/12 2:40 am

Unfortunately, I had to delete this post due to privacy concerns.

Got a lap band in 2008. Tried hard, but didn't lose much weight & developed swallowing problems. Fought my insurance company for almost a year & finally had a band to DS revision on 5/11/12. Have now lost 125 pounds. Yay!

momto3boyz
on 11/20/08 10:09 am - Hampstead, NC
Thanks Shelli. Yeah it was quick denial too. They just the letter in Monday and they got a fax today at the doctor's office. She said she was going to try to explain to them that they want to take care of the hernia at the same time since it is giving me problems. I guess we shall see. maybe this is pay back for my RNY being approved instantly with no questions asked.

Thanks again
Melissa

 
 429/395/225/184/185 6' height

1st dr appt/surgery/dr goal/current/my goal

jami_faye
on 11/20/08 10:57 am - Cherry Point, NC
HOLY COW!!! SKINNY MINNIE  You look GREAT!!
I had to click on your avie, because I didn't recognize you!!! LOL
I am so sorry to hear about the denial!! Just hang in there, and pray that the appeal will go through!!






expecting princess Pictures, Images and Photos

AUGUST 2009

 

momto3boyz
on 11/20/08 11:07 am - Hampstead, NC
Hey Jami. Thanks! Look at you in your purple feathers lol it's amazing how this surgery helped us find our faces again. I am saying a prayer and keeping fingers crossed. hope to see you in December at Logan's.

Melissa

 
 429/395/225/184/185 6' height

1st dr appt/surgery/dr goal/current/my goal

Barbara C.
on 11/20/08 11:01 am - Raleigh, NC

Hi Melissa,

I'm so sorry that you got disappointing news, I hope that your Dr's are able to get them to turn it around sooner than later.

Your look great!

Barbara
ObesityHelp Coach and Support Group Leader
http://www.obesityhelp.com/group/bcumbo_group/
High-264, Current-148, Goal-145

momto3boyz
on 11/20/08 11:08 am - Hampstead, NC
Thanks Barb. It is awful when you have your heart set on something but I am trying to keep telling myself it will happen when it needs to. Thanks again.


Melissa

 
 429/395/225/184/185 6' height

1st dr appt/surgery/dr goal/current/my goal

Nancy W.
on 11/20/08 11:17 am - Jacksonville, NC
Ok, even though you were denied -THIS TIME, at least it is a covered procedure in the future. (mine is not-zip, nada, even if medically necessary.)  Hopefully, and quite possibly, your surgeon will resubmit with medical necessity and it will be approved.  You've seen things in here happen like that! Hang in there...there's always a reason. 

About your hair.........I like it better!!  It looks so much "softer"....I've been wanting mine done too but haven't gotten there yet.  Who did you go to? It does take time to get used to.....last color I hated it immediatly and came home and washed my hair twice, and did that every day for 3 days untill it finally lightened up. It was so dark I looked like I was oriental- if you get the picture. I won't tell her I wanted to go "darker" again! LOL........see you in Dec??

Nancy

(deactivated member)
on 11/21/08 1:52 am
Darcie
on 11/21/08 9:49 pm - Richlands, NC
Sorry for the hi-jack the Logans meet up is December 9th at 7:00 pm and we are doing a Chinese game gift swap, please bring a wrapped gift worth $10.00 (no gag gifts, somthing nice that you would want) cant wait to see you!!


Most Active
Recent Topics
13 years and counting
Jennifer K. · 0 replies · 716 views
Elizabeth City, NC
Vampy · 0 replies · 1787 views
12 years!
Jennifer K. · 0 replies · 1451 views
Raleigh area doctors
ncgoaliemom · 0 replies · 1780 views
NC Forum
Sheryl28518 · 0 replies · 2829 views
×