Got my first denial today
Well, I got my first denial today. Seems BC/BS wants a 6-month supervised diet (within the past two years). I know this has probably been repeated and repeated, but do they not understand the costs of pills for high blood pressure, CPAP machines, diabetic medication, doctor's visits and all the other stuff they are paying for??? If I had nothing better to do, I would sit down and figure out all this crap, to prove they really aren't saving any money. BUT THEN AGAIN...insurance is for healthy people (venting!!!!).
I agree, insurance was designed for healthy people. But if you try to logically prove the cost efficiency of WLS, you are wasting your time. To understand logical information, the brain of the recipient must be able to hear you, to analyze what you are saying, to figure it out. Some people are not capable of doing anything but following an itemized list! (can you tell - I'm venting too)
SOOOOOO, you may have guessed that I've talked to my fair share of dopes today - I'm not usually so crabby! (maybe you'd have to ask my DH about that)
But as I am learning, we must go through our paces, whatever they may be, to get what we want and need.
Do you have appeal rights at this stage? Be tough!
As President Clinton said, I FEEL YOUR PAIN!
Hugs
Kitty