My Appeal Was Turned Down

MARCIAM
on 7/25/08 8:55 am - Sayville, NY
Well it is now official. My appeal was turned down and now I am appealling to the New York State Department of Insurance like I had to for the lapband. My insurance doesn't want me to get a revision to RNY. I just have to contact the doctor's office on Monday to find out if I should file a regular external appeal or an expedited one.
Everything is in legal language but I think that the expecited one is if I was going to die in a day or two without the surgery... I'm pretty sure that I need to do the regular external appeal...Lots of paperwork and lots of things to get mailed to our state capitol in Albany. Please wish me luck!

Marcia 297/169 so far/140
RNY on 9/22/08
My life is starting over & yours can too!
 





m.espoir
on 7/25/08 1:48 pm - NJ
 I cant BELIEVE you have to go thru all this!!! It is SO stupid... What insurance do you have?? I wish I could help you on the whole appeal info but I was lucky enough that I never had to do it,...I will keep positive thoughts!
"Don't expect.......Suggest." ......–The Edge
Lap Band 2/26/03---lost 80 pounds!
FAILED (Erosion/emergency removal) 4/4/07, Gained ALL weight back 8/29/07 
Approved for DS 10/09/07

DS performed successfully 10/29/07
1st Hernia repair and vertical TT 1/15/09
2nd Hernia repair and small vertical TT 12/27/2010
HW  SW   CW   GW       240 225 159 135
(5ft.2in.)

 

 

 

 

 

 

MARCIAM
on 7/29/08 12:10 pm - Sayville, NY
Thanks so much!
Marcia 297/169 so far/140
RNY on 9/22/08
My life is starting over & yours can too!
 





Ms TJ P.
on 7/27/08 10:36 pm - VA
Good luck to you, it's ashame you have to go through all of this. You keep fighting until you reach your goal.


Tonya
MARCIAM
on 7/29/08 12:11 pm - Sayville, NY
Thanks Tonya, I'm not giving up without a fight!
Marcia 297/169 so far/140
RNY on 9/22/08
My life is starting over & yours can too!
 





pepsi98
on 7/29/08 8:40 am - Norwich, CT
What insurance company do you have?
 "The Joy of the Lord is your strength."  Nehemiah 8:10


START:  330         CURRENT:  274.5 lbs         GOAL:  190          TOTAL:  55.5 lbs

 



pepsi98
on 7/29/08 8:40 am - Norwich, CT
What insurance company do you have?
 "The Joy of the Lord is your strength."  Nehemiah 8:10


START:  330         CURRENT:  274.5 lbs         GOAL:  190          TOTAL:  55.5 lbs

 



pepsi98
on 7/29/08 8:41 am - Norwich, CT
pepsi98
on 7/29/08 8:46 am - Norwich, CT
What insurance company do you have?
 "The Joy of the Lord is your strength."  Nehemiah 8:10


START:  330         CURRENT:  274.5 lbs         GOAL:  190          TOTAL:  55.5 lbs

 



MARCIAM
on 7/29/08 12:13 pm - Sayville, NY
I have GHI for the doctors and Blue Shield for the hospital. The big problem is that non-emergency surgery for New York City employees must go through the NYC Healthline and they are turning me down.
Marcia 297/169 so far/140
RNY on 9/22/08
My life is starting over & yours can too!
 





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