Bummed

kathpf
on 11/17/08 12:47 am - oologah, OK
After the insurance company having my information for 6 weeks they have decided that it was sent to the wrong department and would have to be resubmitted.  Also my referral for Dr. Gorospe has expired so I have to get yet another one of those.  The good news is that I wasn't denied (yet) but I'm sitting here bawling wondering why on earth did I even try.  That this is just the insurances way of telling me that I'm not worthy.  I hate feeling like this.  I know some of you have been at this much longer than I have, but I feel like I've been at this since February and that I would have an answer by now.  Not an "I'm sorry but the first person who looked at your paperwork thought it was a claim and denied it so I sent it back and then it went to the wrong department.  Your surgeon will have to resubmit all of the paperwork"  I want to be a loser so bad, not feel like a loser!
DEBBIE C.
on 11/17/08 12:52 am - OK
I'm sorry you are having so many issues to get it approved.  It's a struggle but so worth it.

Do not take it personally.  It doesn't mean you are not worth the effort.  Sometimes I think the insurance people don't use common sense when handling paperwork.  Also sometimes it feels like they think if they delay enough you will give up and forget it, its too much hassle.

It is so worth all the hassle.  It may be a starting over point but once you get it resubmitted call them regularly, even daily if necessary, to get it moving. 

Best of luck and keep pushing, it will be worth it in the end.

Debbie
fleemore1
on 11/17/08 1:07 am - Harrah, OK
I think I'd try calling them up (the department that said you needed to re-submit) and let them know that just because they screwed up on their end shouldn't mean that your doc should have to do everything all over again.  Most likely, they have a copy of everything they have submitted in your file and will just have to make copies.  I HATE dealing with insurance.  At least you have a chance of them paying for it.  For me...it was a total denial of anything to do with WLS.  I was a self-pay.  UGH...  Good luck but I'd sure make a couple of phone calls this morning.

This is the ride of my life.....what an amazing tool I now have!!!
Mrs_P
on 11/17/08 3:38 am - Claremore, OK
Oh I am so sorry to hear this.. I don't understand why insurance companies do what they do.. I think it's just a game to them.. you are worthy of this so don't give up.. it will be  your turn soon..

Hang in there,
Sheila
Happycat
on 11/17/08 5:57 am - Midwest City, OK
Don't give up!  The insurance company has one goal- to keep all of their money for as long as possible!  Your one goal is to get their money as soon as possible.  See the problem??  They have it and you want it!  Keep annoying the heck out of them!
I have maintained for one year at this point.  I am steady at -120 pounds.  =)
40 pounds lost pre-op    
policekat
on 11/18/08 12:17 am - mcalester, OK
DON'T YOU GIVE UP WITHOUT A FIGHT!! I TRIED WITH 3 DIFFERENT INSURANCE CARRIERS OVER THE YEARS BECAUSE EITHER MINE WOULD CHANGE OR MY HUSBAND'S WOULD CHANGE AND I WAS DENIED FLAT OUT BY ALL OF THEM SAYING THAT THOSE SERVICES WERE NOT COVERED. SO NEEDLESS TO SAY I WAS BUMMED AND DEPRESSED ABOUT MY WEIGHT FOR SEVERAL YEARS UNTIL I CAME ACROSS THE WEBSITE FOR WEIGHTWISE. I TALKED WITH MY PARENTS WHO HELPED ME GET A MEDICAL LOAN AND HERE I AM. IT WAS THE BEST DECISION I HAVE EVER MADE FOR MYSELF AND IF I HAD TO MAKE PAYMENTS FOR THE REST OF MY LIFE SO BE IT!! MY POINT IS TO NEVER GIVE UP. WHEN THE TIME IS RIGHT YOU WILL FIND A WAY!
40 LBS LOST PRE-OP

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