Denied again- x post

soulsister
on 8/18/11 5:03 am - NY
Yep, i have been denied after my first appeal. I don't think i can pursue another appeal emotionally. Thinking about going to mexico. I can't beleive this. I was approved for my primary surgery under the same condititions.
Eliza55
on 8/18/11 5:10 am - PA
Best of luck to you with whatever decision that you make.
Eliza
Consult:239   SW:217  1mo:195  2mo:182  3mo:169   6mo:139  9mo GOAL CW: +2 from underweight
  
Jody ***
on 8/18/11 5:33 am - Brighton, MI
RNY on 10/21/08 with
I'm so sorry to hear this.  I don't have any advice for you, but hopefully someone can chime in.

I have heard there is an OH member who is really good at writing appeal letters.. maybe Gina knows who that is.

HW-218/SW-208/CW-126/ Lowest Weight-121/Goal-125 - hit 8/23/09/Height-5'3"

Regain 30 lbs from 2012 to 2016 - got back on track and lost it.  Took 8 months. 
90+/- pounds lost      
BMI - 24 or so
Starting BMI between 35 and 40ish? 
Join us on the Lightweights Board!

Roz !!!!
on 8/18/11 6:07 am - Butler, PA
AWE...that's so sad!!   I wouldn't give up if you really want this! 

Roz

God is walking with me every step of the way. Because of HIM this is possible!!

RNY 10/15/2008 9+ Years!!!
Height: 4' 11" HW: 203 SW: 197 CW: 119
on Maintenance

(deactivated member)
on 8/18/11 6:40 am
 Dont give up  Hun   just keep appealing ...  U DESERVE  this  !!     


id like to KICK those solely profit -minded  shortsighted  insurance  exucitves  rIGHT where it COUNTS  !!    
MacMadame
on 8/18/11 8:19 am - Northern, CA
What was the basis of  the denial? If it's a "one bariatric surgery per lifetime" exclusion, you are screwed. If it was some aspect of your application, you can address that.

HW - 225 SW - 191 GW - 132 CW - 122
Visit my blog at Fatty Fights Back      Become a Fan on Facebook!
Starting BMI 40-ish or less? Join the LightWeights

soulsister
on 8/18/11 11:19 am - NY
Not one surgery per lifetime. My co morbids aren't life threatening they said

MacMadame
on 8/18/11 2:28 pm - Northern, CA
But it's a revision. You aren't supposed to have to re-qualify for a revision, just prove the other surgery failed due to mechanical issues and not non-compliance. You can definitely fight this. You might want to contact Obesity Law for some help.

HW - 225 SW - 191 GW - 132 CW - 122
Visit my blog at Fatty Fights Back      Become a Fan on Facebook!
Starting BMI 40-ish or less? Join the LightWeights

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