Recent Posts
Topic: RE: UHC - Denial -- Peer to Peer or Appeal????
i have the same insurance. my doctor messed up my weighins too. i had to start all over and do the 6 months again. i was so frustrated but i got through it and had my surgery. you will too. just go 3 more months in a row and it will be what they want. good luck.
Topic: RE: UHC - Denial -- Peer to Peer or Appeal????
Hi Kelly,
I know it's almost unfathomable to think of going another 3 months and extending the process, but I agree with the above poster...maybe you should just continue your visits and make them consecutive and then reapply. An appeal might take just as long and if you were denied a second time, then who knows how long you would wait? I'm so sorry you are in this position. The surgeon's office should have known that and informed you. :( Hang in there. Surprisingly, 3-4 more months is probably a drop in the bucket compared to living the life you want to live after WLS. Take care!
Laura
I know it's almost unfathomable to think of going another 3 months and extending the process, but I agree with the above poster...maybe you should just continue your visits and make them consecutive and then reapply. An appeal might take just as long and if you were denied a second time, then who knows how long you would wait? I'm so sorry you are in this position. The surgeon's office should have known that and informed you. :( Hang in there. Surprisingly, 3-4 more months is probably a drop in the bucket compared to living the life you want to live after WLS. Take care!
Laura
Topic: RE: Lunch bunch or get together--WHO'S IN??
Hey Alana, just keep everyone posted on here. As far as facebook, I "think" it is just like setting up a personal page, but hubby just set one up for our church, I will ask him and get back with you. We also used to have another get together that was The Dinner Club. It worked out pretty good and it would be like the last friday or saturaday of each month. I usually made the arrangements for that. So once The Lunch Bunch is going, we will see if anyone is intrested in The Dinner Club....just a thought.
Topic: RE: Wow moment--measured today
Thanks Susan. It was pretty exciting. I have been at a very slow loss on the scales the last few weeks so I was truly surprised to have seen so many inches go down.
So many great idea's from those that have been there before. Much appreciated
So many great idea's from those that have been there before. Much appreciated
Topic: RE: Memphis Area
Hello all!! I am in Southaven and going with Dr. Fore at Baptist Desoto. I was going with Dr Woodman and was doing my 6 month visits with my GP. After about 3 months into it, I was talking with the woman that weighed me (at Woodman's office) and she rubbed me the wrong way big time. I am not talking about her hurting my feelings but when I told her something she did not listen to a word I said. More to it but no need to go there. They maybe okay just after that conversation, I couldn't see putting money in that woman's hand. I have heard that Dr. Woodman was direct but good. You know they deal with a lot of people and excuses, so I can't blame him but she I can.
Dr. Fore had just recently been approved by my insurance, was closer to me, and I had heard some good things about him from my back Dr., GP and did some research on him.
I can't believe there are not more support groups here in the Memphis area.
Good Luck with you all's journeys.
CC
Dr. Fore had just recently been approved by my insurance, was closer to me, and I had heard some good things about him from my back Dr., GP and did some research on him.
I can't believe there are not more support groups here in the Memphis area.
Good Luck with you all's journeys.
CC
Topic: RE: UHC - Denial -- Peer to Peer or Appeal????
Not sure what Peer to Peer is but you could just continue doing the diet for the next 3 mths then you will have your 6 mths combined. That is so ridiculous that they are THAT pcky.. Sorry you are having insurance issues. good luck and don't give up
Topic: UHC - Denial -- Peer to Peer or Appeal????
I am in Franklin -- I have UHC insurance -- they said that the only requirement I needed was a six month diet -- FYI -- i have already done the psych, nutrition, IQ test, physical, etc...-- I did the diet but in the middle my doctor had to cancel my April and May visits. My June visit was suppose to be my last. Since I knew that may be an issue, I went ahead and did a July and August visit. That being the case, my surgeons office sent in my paperwork. UHC denied it today saying with wasn't consecutive.
Options are:
Peer to Peer --
Appeal --
Lay down and cry --
If I appeal or do Peer to Peer and am denied again, I am being told that I cannot try again for a year. What should I do?
The other issue is that my company may change insurance companies in the new year -- that could be good or bad. It's all such a gamble. Help!
Options are:
Peer to Peer --
Appeal --
Lay down and cry --
If I appeal or do Peer to Peer and am denied again, I am being told that I cannot try again for a year. What should I do?
The other issue is that my company may change insurance companies in the new year -- that could be good or bad. It's all such a gamble. Help!
Topic: RE: Update
Time will fly for you, Cheryl. Congrats on the progress you have made to get through the clearance process. You'll have a surgery date in no time.
Hugs,
Lori D
Hugs,
Lori D
any day above the ground is a good one.
Lori D.
RNY 9/2005; DS revision in planning stage for early 2011
Topic: RE: @ Knoxville, advice about docs?
I had a DS with Dr. Boyce in July. I also have UHC and they paid half of the $3000 program fee. For that fee, you get a great deal of follow up care with a nutritionist, nurses, and exercise physiologist. I I don't really know much about UT's program, but I've heard good things about them.