Denied

kipz303
on 4/18/12 5:23 am
 Okay so here's what I posted on my facebook right after I hung up from insurance company.

****************

I have a lot of mixed feelings this morning. Insurance told me they approved me for plastics then said "wait a second" then told me it was actually denied. 

SO many emotions going on right now including jealousy and anger towards those who can pay for their surgery and those who have foundations that paid for theirs. I feel HORRIBLE for feeling this way. I know the anger will pass and I hope it does soon because those people deserve to succeed and I'm happy for them.

I just don't see how the insurance company can consider removing 30 lbs of friggin skin as "completely cosmetic". RIGHT, because it has absolutely no health benefits. It's okay Blue Cross, I don't need to walk upright without excruciating pain OR feel like a human being. I'm just a case# to you. -_-

*****************************
Now here's what I think now that I've showered, cried, sulked, been a baby etc lol


-----
I've already started the appeal process.  I was told I'd be given an actual case worker in a few days.  I'm going to write a letter to put in the file explaining my daily routine of 2+ showers a day just to avoid rashes (OCD so they are taken care of before existing). How I walk like the hunchback of notre dame and have to use a walker at times because of it etc.  I'm also going to have my husband write a letter stating all he sees me go through since he is my primary caretaker. (we JUST got married but have lived together for 3 years now)

I realize now that my anger is towards myself for the thought even popping in my head to be jealous and angry at others for succeeding. It's not right and I've been raised better than that! You all are wonderful - nothing but helpful and supportive and I had the gall to be angry..the jealousy wont go away I'm sure but I shouldnt be angry at anyone!

Thanks for letting me rant lol!

 

RNY - August 13, 2010

LBL - October 29, 2012

 a total of 271 lbs lost!!

alla B.
on 4/18/12 6:31 am
Fight as much and as long as you can!
I won my appeal from 3 time.
Good luck.
alla

PART 1 VSG  03/28/2006;  PART 2   DS  01/31/20007

shana lewis
on 4/18/12 6:42 am - TX
Im sorry dear....

I know that sometimes after an appeal most people say you can get it done...

If you want to talk, and vent more, feel free to PM me...

 
If you want a friend, show yourself friendly!!
        
godzilla
on 4/18/12 12:26 pm - Israel
I so can understand most of what you are going thru as I am in the midst if an Appeal. Do you have any documented medical proof of rashes/fungus or dare I say, can you suffer more and let it become rashy for 4-5days and then your doc can take pics?
Fight for what you deserve.
Mikimi in Israel
jkjstars123
on 4/18/12 12:30 pm - Tama, IA
Don't give up!! I had to fight them and finally got my panni approved but my breasts were denied twice. I'm not giving up on it though. I see the Dr monthly and they take lots of pics and so do I. Showing them the rashes etc. I have to wait 6 months to appeal again (June). I also have BCBS. My Dr cannot believe they denied it twice. He said I have one of the worst cases he has seen. I too will be heart broken if it doesn't get approved. My breasts have always been a concern for me (I was way big and still am).

Don't give up!!

Julie

  HW 304, SW 291, GW 160, CW 140 H-5'9.5"            

    

PBJ
on 4/18/12 11:53 pm
wishing you the best of luck on your appeal...fight hard!  Don't give up!

the best of luck

Patty
My weight loss journey                                                    
Lee ~
on 4/19/12 12:32 am - CA
 I'm sorry you were denied. Keep fighting until they get tired of you and give in!

HW: 249   SW: 229 GW: 149 Age: 63 - Body by Sauceda - 12/2011

Kim S.
on 4/19/12 4:14 am - Helena, AL

You have every right to feel upset, angry, jealous, whatever you need to feel!  We are here for you to lean on.  I'll bet you'll win this on appeal....don't give up!

We are here whenever you need us!

Hang in there.

Kim

             
     
Anwing8
on 4/19/12 12:11 pm - Cape May, NJ
I agree with everyone else!! Keep fighting girl!!

Good luck!

~AMY~
from 308 to 165 `~ 5 years post op and still keeping it off!!
Proud military spouse and Mom to 4 amazing kids!!

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