APPROVED FOR MY SURGERY Y'ALL!!!!!!

Mimi N. Y.
on 6/7/10 8:13 am - New York, NY

I AM APPROVED FOR MY WEIGHT LOSS SURGERY PEOPLE!!!! IT TOOK JUST UNDER A YEAR, BUT, PRAISE GOD, I AM APPROVED!!!!!!!!!!!!!

I started this process in July '09.  Was told I would most likely have to fight for my WLS since my insurance company hates sleeves. But, I like to fight. So I basically told my insurance "bring it on". They just want you to crawl away and give up. Not this girl!


Just got my letter from the outside review agency. In part, this is the reviewer's opinion:


THE REVIEWER HAS DECIDED TO OVERTURN THE HEALTH PLANS DECISION.


1. HAS THE HEALTH PLAN, IN ITS DETERMINATION OF MEDICAL NECESSITY, ACTED REASONABLY, WITH SOUND MEDICAL JUDGEMENT ADN IN THE BEST INTEREST OF THE PATIENT?

     NO

2. IS THE REQUESTED HEALTH SERVICE TREATMENT OF (WLS) AND 1 DAY INPATIENT STAY, MEDICALLY NECESSARY FOR THIS PATIENT?

    YES

3. DO YOU UPHOLD OR OVERTURN, IN WHOLE OR IN PART, THE HEALTH PLAN'S DETERMINATION OF MEDICAL NECESSITY?

     OVERTURN

This just happened within the past hour. I am BEYOND elated. I am living in a Dali painting right now and everything looks weird. I am crying tears of joy over this.

Ms Shell
on 6/7/10 8:33 am - Hawthorne, CA
I see you posted everywhere and I don't care where I respond...HOT DAYUM!!

"WLS is only for people who are ready to move past the "diet" mentality" ~Alison Brown
"WLS is not a Do-Over (repeat same mistakes = get a similar outcome.)  It is a Do-BETTER (make lifestyle changes you can continue forever.)" ~ Michele Vicara aka Eggface

Just Brooke
on 6/7/10 9:19 am
SWEETASS!!!

I'm so happy for you!!!!

    
Mimi N. Y.
on 6/7/10 9:23 am - New York, NY

Thank you my beauties! I am over the moon right now!!!!!!!!!!!!
sfnativewm
on 6/7/10 11:51 am

Congrats to you!!!!!  I know that joy!!!!!  Good luck to you!

~Ann~
Band removed and feeling alive with energy!

ejm42581
on 6/7/10 1:03 pm - Rochester, NY
Congrats to you!!!
~~Erin

http://www.TickerFactory.com/weight-loss/wSWc4sS/">
http://tickers.TickerFactory.com/ezt/t/wSWc4sS/weight.png">>

        
Shea30nky
on 6/7/10 2:01 pm - Williamsburg, KY
Way to go girl! Congrats and good for you for hanging in there! Best of luck!
     
InkdSpEdTchr
on 6/8/10 1:29 am
OMGEEEZY! Mimi that's amazing news- CONGRATS!!! Though I knew with your persistance that it would happen...hope your date comes soon!


Mimi's getting a sleevi!!!

:Danni  >>>AIDS/LifeCycle 10 & 11 Finisher: 545miles on the bike in 7 days <<<
HW390/SW340/CW 208/GW170
                   
  

             
  

ohbearly
on 6/8/10 1:29 am - Mogadore, OH
Revision on 07/31/13
Congrats Mimi! I know it was long journey for you.

Follow my journey to a happy, healthy, active life at TomBilcze.com 

vitaminaj
on 6/8/10 6:17 am - Los Angeles, CA
 Congrats!!!
~~If you don't like something, change it. If you can't change it, change
your attitude. Don't complain.~~Maya Angelou

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