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DENIED??? Are they SERIOUS?

_Suzy_
on 3/15/10 3:26 am, edited 3/15/10 3:35 am - Lawrenceville, GA
oh for pete sakes.  BCN denied me today because they didn't like one of the documents sent over to them.  Seems we got one of the "tougher" reviewers.(insert sarcasm here)  "Well of course we did.  Nothing can ever be easy now, can it"? 

so, I have an appt with my PCP today to see if he will write something new for me to please Miss Hardass Review Lady at BCN.  Cross your fingers for me folks.

Suzy
Suzy


Start Weight     309    
Surgery              301
Current               206

O M G - I am down over 100#.  



    
Lilitu
on 3/15/10 5:29 am - Bay Area , CA

Well FiddleSticks!!!!  But Suzy Good for you for moving Forward and not using this as an excuse to feel sorry for yourself!!!

I know you didn't ask for it, but I would like to offer you my input. Try to talk to this woman. Become her friend, see what it is she really wants from you & your docors. Let her know you as a person, take away the annonimity. So when she makes it difficult, she really does know who it is she is making it difficult on.  My Fingers are crossed my friend.


    Just when the Catipillar thought the world was over

                         ....She became a Butterfly   

 

                                  300+ /260140 Current BMI 22.4 /No Longer a #, just were my body is Happy
                                 Highest Weightat surgery/ current /Goal

             


_Suzy_
on 3/15/10 7:16 am - Lawrenceville, GA
Well, Clara,the insurance coordinator at the surgeon's office is Awesome!!  She's on top of things and has already filed the appeal.  And included my surgery date so that hopefully they won't drag it out he 30 days that they usually.  But if they do, oh well.  I've waited THIS long - a few more weeks won't kill me.  but damn.  It's annoying ya know??

Thanks for the crossed fingers..I need them!!!!!!


Suzy


Start Weight     309    
Surgery              301
Current               206

O M G - I am down over 100#.  



    
bigscrappingirlie
on 3/15/10 12:28 pm - Davenport, IA
Keep your chin up Suzy!!! This is just a little speed bump in your journey to WLS. You have such a great attitude about this and that is something you should be proud of. I know the waiting is the hardest part..you can hold on girl..I know you can :)
   
 Adore Yourself!!!
Yvonne McCarthy
on 3/16/10 2:36 am - Plano, TX
I've heard so many stories about people being denied over someone missing a spot that needed to be initialed.  On top of that they didn't even tell the person that was the reason!!!  You hang in there Suzy.  Don't give up and I want you to visualize yourself having your surgery...see yourself checking in and going to the hospital.  Keep us posted and I'm so glad you've got someone fighting for you!
hugs, Y

Open RNY 3/30/01  260lbs - 130lbs Yvonne McCarthy, CLC. Health & Wellness Coach (full time volunteer). I am happy to help if I can. Visit www.bariatricgirl.com and see the Bariatric Girl blog!  Also check out my Facebook Bariatric Girl Page Photography site www.yvonnemccarthy.com     .„ø¤º°¨ Ƹ̵̡Ӝ̵̨̄Ʒ¨°º¤ø„¸¸„ø¤º°¨„ø¤º°¨ Ƹ̵̡Ӝ̵̨̄Ʒ¨°º¤ø„¸¸„ø¤º°¨

Lilitu
on 3/17/10 4:25 am - Bay Area , CA

"Don't give up and I want you to visualize yourself having your surgery...see yourself checking in and going to the hospital."

Yvonne I think this is Probably one of the most Important things to obtaining success

_Suzy_
on 3/17/10 12:39 pm - Lawrenceville, GA
How come I can't do that?  Visualize it.  I just can't.  Sadly, tonight I am finding myself sliding into a deep depression over this.    I got my damn denial letter in the mail yesterday and that was a kick in the gut.  I am pissed. 

I have this horrible feeling that I will denied AGAIN.  I just feel like there is this black cloud over my head.  Like - we file for bankruptcy.  Our debt was killing us - and it was all I could do to keep up my minimum monthly payments.  It was not an easy decision, but once we did it, we were so glad that we did.  .....I have this monthly check that I receive from an annuity that my mom had..  I was the beneficiary - so upon her death I began to receive it - and should get them for the next 7 years.  The annuity was purchased with funds from a 'wrongful death' lawsuit for my father.  He got AIDS from the oral surgeon that removed all his teeth and bone in preparation for dentures back in 1983.

WELL, of course we got one of the tougher trustees to hear our case.  He's suing me for that annuity.  I really hate to sound greedy, but I thought bankruptcy was there for people to get a fresh start.  And it's not just the money, but what that money is a symbol of.  Sigh.  anyhow. that is still looming over my head - my lawyer is making him an offer.  Waiting to hear back on that.  I am waiting to hear back on my appeal.  AND that damn new job in Atlanta for my DH is still in the background.  Hiring freeze right now so we have no idea when or if he'll hear back on that.

I am sick and tired of all this UNKNOWN in my life.   LOL>  OK - winefest over.  Things could be so much worse, I realize that.  But I am taking the right to feel bad about My current tribulations!

Suzy
Suzy


Start Weight     309    
Surgery              301
Current               206

O M G - I am down over 100#.  



    
Yvonne McCarthy
on 3/17/10 2:01 pm - Plano, TX

OK Suzy.  Take a deep breath and let's just think about today.  You said that you're pretty sure that you will get it approved but it might take a little longer right?  So right now you are feeling very overwhelmed and I certainly understand.  I can't imagine going through what you've been through with your dad.  How incredibly painful that must have been. 

When we are down there is one place to look and that is up.  I want you to know that we are all here for you and you can whine all you want.  You got it out and it's time for Suzy to be loved and cared for.  I hope your lawyer fights like a bad dog!  I know that feels like you're being violated all over again doesn't it?  Bless your heart.  You are going to be able to get that denial turned around right?  I know it might not be in time for this first date but that's OK!  When I talked about visualizing, I want you to think about getting that approval.  See it, believe it.  Write it out on a piece of paper and address it to yourself.  Sound silly? YEP!  Waiting is the hardest part too.  Does your doc's office have any more info?  I'm sorry I'm sounding all jumbled but I was about to go to sleep but I couldn't go without answering your post.  We love and care about you and it hurts me to see you hurt so we'll just work through this together.  Let me know about the appeal and what they are saying.  Special smooches
hugs, Y

Open RNY 3/30/01  260lbs - 130lbs Yvonne McCarthy, CLC. Health & Wellness Coach (full time volunteer). I am happy to help if I can. Visit www.bariatricgirl.com and see the Bariatric Girl blog!  Also check out my Facebook Bariatric Girl Page Photography site www.yvonnemccarthy.com     .„ø¤º°¨ Ƹ̵̡Ӝ̵̨̄Ʒ¨°º¤ø„¸¸„ø¤º°¨„ø¤º°¨ Ƹ̵̡Ӝ̵̨̄Ʒ¨°º¤ø„¸¸„ø¤º°¨

_Suzy_
on 3/18/10 8:04 am - Lawrenceville, GA
  Thanks, Yvonne!  I am actually feeling much better today!!!!!!!  I'll try not to let my mood get the best of me when I start to feel down again.
Suzy


Start Weight     309    
Surgery              301
Current               206

O M G - I am down over 100#.  



    
Yvonne McCarthy
on 3/18/10 8:18 am - Plano, TX
Sweetie you've been on my mind ALL day.  I want you to talk about it.  We all feel down sometimes and that's why we are here.  You can talk about it any time you want.  We are all human.  There's a difference between talking about what's going on in your life than what I call negativity.  Negativity is like running yourself down or shaming yourself... or someone else.  For some reason I've been struggling with demons lately and they are chasing my butt!  That's why I come here and talk to others...so I can get out of my head.  My head has been sorta scary lately.

You did tell me though that it's just a technical thing right?  You just need to straighten some paperwork out right?  I so hope that's what I remember.  Just know that I'm thinking about you and sending all the love and light and prayers I can.  I also want to thank you for sharing part of your life.  I'm really glad you're here.  Keep me posted on what's going on.
hugs, Y

Open RNY 3/30/01  260lbs - 130lbs Yvonne McCarthy, CLC. Health & Wellness Coach (full time volunteer). I am happy to help if I can. Visit www.bariatricgirl.com and see the Bariatric Girl blog!  Also check out my Facebook Bariatric Girl Page Photography site www.yvonnemccarthy.com     .„ø¤º°¨ Ƹ̵̡Ӝ̵̨̄Ʒ¨°º¤ø„¸¸„ø¤º°¨„ø¤º°¨ Ƹ̵̡Ӝ̵̨̄Ʒ¨°º¤ø„¸¸„ø¤º°¨

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