I WAS DENIED FOR GASTRIC BYPASS WITH MEDICAID OF NC!!!!!

Kellie Jones
on 6/8/04 3:24 am - Ellenboro, NC
I RECIEVED A PHONE CALL FROM DR. COOKS OFFICE YESTERDAY STATING THAT I WAS DENIED FOR THE PROCCEDURE. I'M MORE THAN QUALIFIED FOR IT AND THE SURGEON HAS AGREED TO DO THE SURGERY BUT MEDICAID HAS DENIED ME....I WAS INSTRUCTED TO WRITE AN APPEAL LETTER TO THEM AND I'M NOT SURE HOW TO GO ABOUT IT, I HAVE A SAMPLE LETTER FROM OBESITYHELP.COM AND I WAS GOING TO TRY THAT IF ANYONE HAS ANY SUGGESTIONS PLEASE LET ME KNOW. ALSO IF ANYONE ELSE HAS HAD THE SAME PROBLEM WITH MEDICAID PLAESE FEEL FREE TO GIVE SOME POINTERS TO ME SO THAT I CAN GET THIS OVERTURNED. I SPOKE TO A LADY AT MEDICAID YESTERDAY AND I EXPRESSED TO HER THAT I'AM ON DISABILITY DUE TO MY COMORBITIES, AND SHE PROCEEDED TO TELL ME THAT IF I LOST WEIGHT AND MOST OF MY PROBLEMS WOULD "CURE" MOST OF MY PROBLEMS THAT I WOULD BE KNOCKED OUT OF BEING ELIGABLE FOR DISABILITY, I REPLIED TO HER THAT, "THAT'S WHAT I WANT TO DO, THAT I DO WANT TO LIVE LONGER AND I DO WANT TO GO BACK TO WORK FULL TIME", I ALSO SAID THAT, "I'M 30 YEARS OLD AND WANT TO GO BACK TO SCHOOL AND FINISH MY DEGREE IN NURSING." SHE REPLIED, "THAT IS GOOD AND SHE HOPES THAT I COULD GET THE DENIAL OVERTURNED", AND TOLD ME WHERE TO SEND THE LETTER TO. THANK YOU ALL FOR HELPING ME OUT THE BEST WAY THAT YOU CAN AND GOD LOVES YOU AND HE WILL BLESS YOU!!!!!! P.S. I NEED AN ANGEL TO HELP ME THOUGH THIS
lessthanB4
on 6/8/04 5:24 am - Southeast, TX
Hello Kellie. I'm so sorry to hear about your denial. I don't know much about Medicaid but I am appealing my denial for the Lap-Band surgery through Blue Cross/Blue Shield. What reason did Medicaid give you for the denial? I will be happy to send you a copy of my appeal letter You may be able to custom taylor it to fit your situation if you would like. Good luck and let me know if you would like a copy of my letter. Lisa
Diane D.
on 6/11/04 7:09 am - Minneapolis, MN
HI Kellie, OHHHHHHHHH that make me so mad! . What the hell? You certainly are well qualified! I hate some of these medical insurances. Of course if you got your surgery you would go back into the work force, you would think that is what Medicare would want. Hurry and write your denial letter, and if they deny you again, send one more. We will think of a plan after that. Keep me informed. Bless you!
Most Active
×