Isurance now says no

The other day i posted about how my insurance called me to let me know that i was pre-aproved for surgery and they referred me to St Vincent Charity.

WELL now, my HR dept came down and had a meeting with me and said that gastric bypass was excluded from their plan as of Jan 1, 2008.    I thought they were lying about it so i called the insurance and they are saying, oops, we made a booboo....you can't have it sorry.

I was really really hurt.  I got my hopes all up and then crushed all in less than a week later. 

The thing about it was HR said we hope you didn't have the surgeon consultation because we nor the insurance would cover this and you would be required to pay for it yourself.  The ironic thing about this is, my HR lady is this tiny thin beautiful woman (who drives a 70,000 dollar lexus) who told me and she said they did away with it because they thought it was more of an elective surgery...like a boob job.  Ok first of all, it's not a fricken boob job, i need this surgery.  For all she knows i could keel over any moment with a heart attack........THEN she had the odacity to tell me that i can do a self pay to continue on with the surgery....then she drove away in her Lexus. 

Seriously!?

So guess it was too good to be true....

Oh Honey, I am so sorry. This is just so wrong in so many ways. You have been trying for this surgery for months, and they are just now telling you it's not covered. I would be so angry right now! But don't give up on having this surgery. Somehow you'll find a way...

Don't give up it took me 4 years and a job change to get approved. If you can afford it there is a way to fiance the surgery they have that information at St. V. I understand your disappointment I have been there done that and let me tell you it sucks! Explore every option there maybe something you overlooked. I was almost tothe point of going to mexico when my wife and I both got approved for surgery. She had a lap rny in july, I had an open rny in august. This is to important to drop. Good luck.

MrBill
(sorry didn't realize I was signed in under my wifes profile)

 Keep trying never ever give up! You will be in my thoughts and prayers. 

oh man, that is so wrong but please dont give up, you never know what can happen, they might change insurance companies, change their policy again, you might change jobs, and although its pricey you can see about self pay, i know st v has some options ..
good luck

That is so unfortunate, but don't give up.  Can they change it for the upcoming year so new enrollment includes the surgery again?  Just wondered?  I wish you the best of luck.  Keep fighting.

Do you know if they will at least approve some of the cost of medical management for weight loss, through an approved bariatric specialty center... I lost 15 pounds in 4 weeks of Optifast, and that helped me so much. Others have lost 20-40 pounds that I know on 2-4 months of Optifast through Akron's Bariatric center.  There is hope.. perhaps you can get a special dispensation from insurance and work if you have your bariatric medicine folks campaign for you.  Keep up your hopes.  It is not a magic bullet to have surgery, you still have to work like crazy and sometimes, it is slow (at least for the Lap-Band, ti seems slow). I'll be praying for you!

Check with Diana Cox on the DS Board and see if she has any help for you