I was denied

I am devestated........ I have been praying for so long about this, putting all my hopes into getting my life, my body back and I feel like God let me down. I know I cannot lose weight on my own, been there done that. What am I supposed to do now. I am in so much pain all the time, can't stand for longer than 20 min, walk longer than 10 min at a time. My husband infuritates me, at 350 he is a total food addict and says to me well if the appeals doesn't go through we will just go on a diet together. he is an idot!!!!!!!!!!!!! He cannot go on a diet at all, let alone keep it off Me, I only lose 20-30lb max and cannot keep it off I feel like I have lost hope in my future, my health, I am devestated. Trish

Trish, what insurance do you have?Is there an exclusion on the policy stating that they do not cover WLS? Call member services and see if it's covered if it is medically necessary. I had Aetna before BCBS and my husband worked for a small company, so when Barix submitted to them they said no matter what it would not be covered. Don't give up hope, it will happen! I totally know how you feel, After Aetna I got Personal Choice they approved me but then said it was a prexsisting condition, and I would have to switch to a continued coverage plan that did not have that exclusion, I was so upset that I drove down to Market Street and cried to the lady behind the desk. When I finally stopped obsessing about it the plans switched and I finally got approved. If all else fails with the insurance, maybe you could get a loan. I always feel like why are things not working out for me? But keep praying, pray with your husband! Matthew 18:19,20. "Again, I tell you, that if two of you on earth agree about anything you ask for, it will be done for you by my father in heaven. For where two or three come together in my name, there I am with them." BELIEVE and it will happen. I always ask my 9 year old daughter to pray with me, she is the only one that will everybody else laughs at me. I have your # I will try to call when things aren't so hectic( I have 7 kids) You could always email me at [email protected] Good Luck, Cindy

I would suggest appealing the decision. I have heard of people doing that, and having some success in doing so. I am praying for you. Hugs, Trish

Hi Trish, I just want to encourage you that in God's eyes delayed does not mean denied! Just know that whatever God has for you is for you! He is the only one that can open up doors that no man can shut, and shut doors that no man can open! What reason did they give you for the denial? I have Aetna, and I called them to find out if WLS surgery was covered under my plan and I also went to their website and printed out the Policy bulletin for WLS, they have in that bulletin all the requirements necessary to be considered medically necessary to have WLS. I read the entire bulletin(30 pages) and highlighted everything that I thought pertained to me, so when I went to my consult I had the bulletin with me to make sure what the surgeon required is what Aetna required as well. Maybe in your case it may have been some information that was omitted. When I spoke to my surgeons office yesterday, she told me that she received a denial from the insurance company because they wanted proof of the patients hypertension, so that is why I am saying that it is possible that you received the denial for something small like that. God knows what is best for all of us, and he is in control of everything that happens in our lives. So, when things don't go according to our plans, we should get back on our knees and ask God, what his plans are concerning the issue. It seems that it would be easier to blame God than to Trust him, but HE wants us to get to the place of total reliance and dependence on Him! Jeremiah 29:11- For I know the plans I have for you declares the Lord...plans to prosper you and not to harm you...plans to give you hope and a future!!!!!! Be Blessed,

Trisha girl, God will never let you down! Satan likes to tells us He has just to upset us. Like the other ladies said there could be many reasons for the denial and I too say find out what the cause was because it could be something small. I was denied the first time too because I didn't have every little thing they wanted but I am resubmitting everything again soon and this time I know I have every "i"dotted and 't' crossed. There are hundreds of folks on this site who have been denied not once but several times. Don't let Satan make you think defeated, pour your heart out to the Lord and take refuge in His loving arms. He is always there for you. Know that we all here are also praying for you. Maybe this just isn't the time that the Lord has picked for you. You just don't know what His reason may be, but it will be for your best interest, honostly. Stay strong!! Karen

First of all let me say I am sorry that this did not go through as you had planned. Now let me say that you are not always going to get what you want from God, when you want it. That is my spiritual spanking for you today. I am also going to go so far as to say that you have a husband who loves you enough to say "lets diet together" eve when you call him a total food addict. How thoughtful of him to see you in need and offer a solution that he will do with you. Do not say "I can't" because you can do all things with the help of Jesus. Now let us know why you were denied. Perhaps we can brain storm. Or perhaps you can do what many have done and self pay. I know it is expensive, but dying isn't cheap either. Now go put on a cup of hot tea, put your feet up and sing praises to the Lord because even when the news is bad - we need to thank Him and praise His name. Love Sally

Good am Trish, I can assure God has not let you down. Sometimes the answer we want NOW isn't the answer we are getting. We go through so many different emotions from anger, hurt, frustration to depression, anxiety and we see giving in and giving up as the way we are headed. Turn all your negative emotions into determination and get clear clarification as to why you were denied. Ask about your insurance companies policies and find out what else they may have needed to get this done. Turn your pain into determination and ask God to help alleviate it. Your husband infuriates you because you are angry and you are ready to take the necessary steps to gain your life back. So, you've hit a road block. That is not the end all be all. Trust me when I say I've been there, I've wanted to give up and give in. It just isn't me though. It took me more than 3 years to finally proceed with everything regarding WLS. Then it seemed like it took so long to get there but it was worth every fight, every tear, every nay sayer and every prayer I talked to God in. You have only lost your will at this point. You are alive, you still have the fight in you, you take all those negatives and turn them around. Make things happen, keep pursuing insurance, your PCP, family, friends and of course your support here. It isn't easy this entire process. There are setbacks but YOU ARE WORTH IT! Take care...prayers coming your way...with many big hugs... Kat