Denied

911dispatcher
on 10/1/08 4:51 am - Lawrenceburg, TN
I have been having blood pressure problems since 1997 but the rest of my co-morbidities have started in the last few years.  I keep gaining weight, I went to the doctor yesterday & I have gained 5 pounds.  I can't keep going like this. 

Lisa K.                                                                                                                              
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fbsummers
on 10/1/08 4:37 am
So sorry you are having problems, Lisa.  I was denied twice but it just made me more determined.  Don't give up!  Call CIGNA and ask what you can do to get the decision turned around.  Call your doctor and get a lette for appeal.  Call the National Guard!  okay maybe I went a little over the edge with the National Guard but you get the picture.  Fight Lisa, fight!

I will be your cheerleader!
Freddie
  Before WLS              
  
Before......   Surgery......  Post-op.....
911dispatcher
on 10/1/08 4:53 am - Lawrenceburg, TN
I'm going to I just didn't know where to start.  I thought I'd get some advice from those of you that have been denied.   What exactly does the letter of appeal need to have in it? 

Lisa K.                                                                                                                              
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fbsummers
on 10/1/08 6:46 am
I called CIGNA and got the specifics of what I was lacking from my case worker.  After that, I worked with my surgeon's staff to get the wording just right and then resubmitted.

Good luck!
Freddie
  Before WLS              
  
Before......   Surgery......  Post-op.....
Cheryl P.
on 10/1/08 7:25 am - Antioch, TN
Sorry about your denial. I can't imagine what that must be like. Just keep pushing, don't give up. Keep us posted.

Cheryl

             

        
          
                      
                          
                   
 

SCOTT O.
on 10/1/08 6:40 pm - Nashville, TN
What can you do?
Fight back and don't give up!  I was never denied by CIGNA, but my paperwork was lost or routed to the wrong department 3 times.  I called everyday and went from there!

You may also try the Obesity Action Coalition website.  They provide a lot of information. In the search box, type in appeal, and it will guide you an that process!

Don't give up!
Scott
Susan J.
on 10/1/08 7:32 pm - Madison, TN

Can you prove that your BMI was high enough for a few years prior to 2004 & 2005? Perhaps that may help show that not only have you been obese for a long period, but that you also made serious diet attempts and were only able to bring your weight down some before gaining it back.

Like the others have said, FIGHT!! Ask your doctor's office for suggestions on where to go from here.

Susan (AKA bilsrib) 
300/135/135 - Plastics February 2008 - Dr. Lois Wagstrom

P E A C E - It does not mean to be in a place where there is no noise, trouble, or hard work. It means to be in the midst of those things and still be calm in your heart.










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