I'm done waiting for the surgery to happen!

bridgetk23
on 10/23/07 4:45 am - dexter, NY
So I get a call from my doctors and they say oh Im sorry Bridget , your insurance is not approving you at this time for surgery, so what we would like to do in continue with monthly wiegh ins and check ups...for another 5 months, and maybe after that time you will be able to have the surgery..... Um I just went thru a year of doing that **** and went to my physical apt., which was supposed to be my last before surgery..well I guess not.... it is total bullcrap, and im about to throw the towel in. Nobody knows how much I truely need this to help my life better. So starting tomorrow I start kickin my ass back into diet, excersise gear...sence the surgery is not going to be happening, back to the battle of the buldge........ive cried all afternoon, and im done crying , now im just mad, and more pushed to try once again at cutting the fat.
pennygirl
on 10/23/07 5:38 am - Long Island, NY
Bridget, I am so sorry. Your'e not going to appeal the decision? You can bet your a$$ that I would. Do you have any co-morbitities related to the weight? What insurance company do you have? Do they not cover WLS or is it that they are just not approving you at this time? I hate to see you so defeated and upset. If your Insurance company doesn't have a clause that   WLS is excluded, then you can beat this. I know how frustrating this must be for you. Until then, yes keep your appointments with your Dr..  My ins. company demanded 6month consecutive visits and they meant it.  Continue with the attitude that you will try to lose more pounds on your own. That can only be a good thing for you with or without surgery. Don't just give up.

 ~Many Blessings ~           
   230lbs(start)-139lbs.(now)-130 lbs.(new goal) Total loss-91 lbs.          
    

 

             

 

             

 

             

 

             

 

 

        
        


   


 







 

Trish6660
on 10/23/07 6:08 am - Long Island, NY

My heart bleeds for you Bridget.  Please try to find a way to appeal this.  If not, then just play the game, do your 6 months and keep pushing forward.  I had to go through the entire process twice too although for different reason.  I chose the wrong surgeon the first time who want to deviate from the RNY bypass and take my stomach out permanently....all this came down at the very last appt before surgery too.  I was mortified, devestated and felt I could NOT go through all this bull**** again.  I kept researching different surgeons, got 2nd, 3rd and 4th opinions...and finally, I found a surgeon that would do this the way it was intended.  My approval went fast and before I knew it, I was there....and here I am an entire year later.  TODAY is my anniversary and I'm down 108 lbs.  I never realized how much I was dying until the weight started coming off and how much better I felt.  Please, PLEASE do not give up!!! DO this for YOU, YOU ARE WORTH IT!!  Insurance companies are getting tougher because the surgery is getting so popular, they want you to make sure that this is your last resort.  Losing weight over the next 6 months can only make your surgery go better, so do it and make this 6 months fly by.  You will only regret that you came this far and threw in the towel, 6 months is nothing compared to the REST OF YOUR HAPPY THIN LIFE!!!!!  

 Trish
cheri24iv
on 10/23/07 7:35 am - Hamilton, NY
Oh Bridget...ya can't say that nobody knows...I'm just one person... and it took me 2 years!!!!  DO NOT toss in that towel or I will personally track ya down and grab the towel and do a hiney snap with it!  Your heart is determined to do this for yourself, so do it!  It's not a diet we need to change out habits sweetie, it's support and a brain transplant, well maybe not a brain transplant, but education, in order to teach ourselves what we really should be doing to change our lives for good.  The word DIET is a four letter word.  It's a change for life that we have to make..  Our surgeries are tools we still have to use properly to lose and maintain for life.  I know many people who have had both RNY and Lap Band and have gained mega poundage back.  It's as good as the person using the tool!  If you need to talk, add me and we can talk here or on the phone.  Insurance companies want us frustrated so that we do  throw in the towels.  DO NOT  DO IT! 

HUGS to ya
Cheri, The Happy Bandster



Saphire Skies
on 10/23/07 11:04 am
Bridget, I'm so sorry you are getting such a run-around :(.  Don't give up! What kind of insurance do you have?  Maybe someone here has the same company and can give you some pointers to appeal.



     
bridgetk23
on 10/23/07 10:01 pm - dexter, NY

I have been doing there wiegh in plan for 12 months.... they just made me do an extra 4 months before this..and now they want another 5-6 ...its just so frustrating...I have Medicaid, my good friend Betty-Jean had it done in July, we were supposed to go together but I got denied and she was able to process, my doctors all think its the best thing for me also...but that damn insurance. I am going to be moving out of state in January , so I really cant do another 6months up here, im just gona have to start all over in Feb. down in NC......find a doc down there and get all my papers from my doc up here......I have an apt with my doc up here on friday , im gona go talk to her. But my family thinks I shouldnt put myself in that risk of surgery......and that I should just keep workin my big butt off..and stop eating junk.......well its not that easy...and my mom and step mom had surgery done, so you would think they would know that....and my dad just tells me stay away from the ice cream...lol thats my big problem..........

And no I dont have any other problems with me besides being obese, I have a hiatal hernia, but thats common in big people.......but other then that no diabetes,no sleep apnea, no high blood pressure..nothing.. just tons of fat......... I thank you all for the support and words, I really dont know where I am going yet...............

rosemary52
on 10/23/07 11:56 pm - NY
Bridget, don't give up...I was lucky...like you I didn't have any "extra" problems concerning my weight, but my BMI was 51..so, that was my magic ticket. I had a great insurance company.  Yes...appeal and maybe you want to talk to the insurance company and get the particulars on what their rules are. Good Luck, Rosemary
Ken_P
on 10/24/07 5:20 am
I would appeal it. A lot of insurance companies will deny a claim at first hoping you'll just go away if you press the issue and ask to speak to the person who has the ability to give you a answer they might change their tune.
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