Bummed

Bethicle
on 3/13/07 2:26 pm - Vancouver, WA
So I'm feeling pretty bummed right now. I found out this morning that I am probably going to be denied by my insurance, UHC, for my lapband. I have called them many times and they told me that my pland doesn't require a 5 year history of a BMI of 35 or over. Which I dont have because I havent been to the Dr. every year for the last 5 years..Well now that my paperwork is submitted they are saying that they need this, well I dont have it, and now on top of that they are saying that I have to be 21 (I am 20) which they NEVER even mentioned before! Grr I am so upset.
carebearbrite
on 3/13/07 2:35 pm - MI
Hi Bethicle, I am sooo sorry to hear about your possible denial. When will you get an answer for sure? For some of us this WLS is long a painful process and this is BEFORE you even get on a operating table. But I hope you won't let this get you down. I'm sure it will happen for you when one day. So please keep your head up stay positive....and don't give up! I will keep you in my thoughts and prayer. <>
               CAREBEARBRITE
Bethicle
on 3/13/07 3:03 pm - Vancouver, WA
Thanks so much, I dont know when exactly when I will get my denial, they have to mail it to me, so probably in a week or two. I am going to call them tomorrow, I guess I have a teeny tiny hope left. But I guess when I get a denial I will just try and appeal, but I might have to wait till im 21 so I might have to wait till July to appeal which really really sucks.
eurupthere
on 3/14/07 10:57 am - Olathe, KS
I know your frusteration. I've been on the journey since October 2004. Check out my profile for my about my journey. None the less the day hasn't even come yet for my surgery but it is closer each day. Be pations. I know that seems imposible though.  best wishes!
Bethicle
on 3/15/07 4:37 am - Vancouver, WA
So its official, I have been denied. I called my insurance and they said I was denied because I did not submit a 5 year history and that I am not quite 21. I just felt like crying, I dont know how people can fight this for years. So now I have to appeal, I am just crossing my fingers that this work. I have documentation of UHC telling me that I do not need a 5 year history and that I do not need to be 21, so hopefully that will help. Thanks for all your support.
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