Hi Everyone
Welcome Janet!
I am in the Greenville area but wanted to welcome you to the board! We are starting a new support group here this weekend. If you are ever in the area, please join us.
Hang in there, I remember how frustrating the process was for me but "getting there" is so well worth the wait! Good luck and I hope you hear an answer soon!
Congratulations on the decision to take the journey!
Take care,
Leisa
280/173/150
hi,denise please keep in touch.....i would love to talk to you......email me [email protected] we can talk by phone!!!!This board is great.....I have learned so much and everyone is just great!!!
Keep In Touch,
Janet
Hi there. I live in North Augusta and I just wanted to let you know that you can email me if you would like to have someone to talk too. I am waiting to here from the insurance on my appeal letter and should hopefully know something soon. My email is [email protected]. Good luck and God Bless.
Carla
Lady D-
I am not sure why I was denied. The Insurance Lady was new and said she asked her supervisor what to do and he told her to deny me, based on the fact that I didn't meet the criteria. However, my PCP and my surgeon said I did meet the criteria, 100 lbs overweight and sleep apnea and high blood pressure... I appealed and hopefully will find out if I am approved soon. Thanks for the support. Keep praying for me.
Carla
IF YOU'RE DENIED AGAIN, CARLA ... HAVE YOUR INSURANCE REP SEND YOU A LETTER/FAX/EMAIL STATING EXACTLY WHAT PART OF THE WLS CRITERIA YOU DON'T MEET.
IT COULD BE SOMETHING AS SIMPLE AS THE WRONG REFERRAL CODE TO MISSING PAPERWORK, BUT YOU NEED TO KNOW EXACTLY HOW TO FIX THE ERROR TO GET APPROVED.
IT MAY BE HARD TO DRAG THE INFO OUT OF THEM, BUT DEMAND IT BE SENT TO YOU/YOUR SURGEON IN WRITING.
FOR INSTANCE, WITH TRI CARE, IF YOUR PCM (PRIMARY CARE MANAGER = YOUR PRIMARY DOCTOR) REFERS YOU AS AN "EVAL" INSTEAD OF AN "EVAL & TREAT" THEY WILL DENY YOU WITHOUT EVEN LOOKING AT YOUR MEDICAL RECORDS. THAT'S HOW SMALL A MISTAKE CAN GET YOU A DENIAL.
DON'T GIVE UP ... GOD BLESS YOU DAWN & NICK