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Everything posted by Bobbe Schu
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I'm so depressed! Don't I deserve a 2nd chance? The removal of my band was approved but the bypass denied. So if I have the band removed, I'll gain a bunch of weight and then where will I be? I've already gained 11 pounds just since all of the Fluid was removed from the band. I am beside myself. I don't have the kind of money to self-pay. Should I fight this? I'm told I need 6 month weight loss documentation -- but the only thing I have are invoices from Nutrisystem where I tried them for 2 months approximately 6 months ago. Will that qualify? I just don't know what to do. Any advice?
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Band Removal Approved; BYPASS DENIED!
Bobbe Schu replied to Bobbe Schu's topic in Gastric Bypass Surgery Forums
United Health Care -
I was denied twice through UHC. I hired Lindstrom Obesity Advocacy in May. FINALLY AFTER MANY MONTHS MY REVISION SURGERY HAS BEEN APPROVED!!!!! THANK YOU WALTER & KELLEY LINDSTROM, Lindstrom Obesity Advocacy, FOR NOT GIVING UP AND FOR MAKING THIS HAPPEN! I'm so excited I can hardly stand it. 2016 is going to be a year of wonderful changes in my life!
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Band Removal Approved; BYPASS DENIED!
Bobbe Schu replied to Bobbe Schu's topic in Gastric Bypass Surgery Forums
FINALLY AFTER MANY MONTHS MY REVISION SURGERY HAS BEEN APPROVED!!!!! THANK YOU WALTER & KELLEY LINDSTROM, Lindstrom Obesity Advocacy, FOR NOT GIVING UP AND FOR MAKING THIS HAPPEN! I'm so excited I can hardly stand it. 2016 is going to be a year of wonderful changes in my life! -
When do I stop regretting my Gastric Bypass?
Bobbe Schu replied to Veiados's topic in Gastric Bypass Surgery Forums
FINALLY AFTER MANY MONTHS MY REVISION SURGERY HAS BEEN APPROVED!!!!! THANK YOU WALTER & KELLEY LINDSTROM, Lindstrom Obesity Advocacy, FOR NOT GIVING UP AND FOR MAKING THIS HAPPEN! I'm so excited I can hardly stand it. 2016 is going to be a year of wonderful changes in my life! I'm looking forward to this new chapter in my life!!!! -
Band Removal Approved; BYPASS DENIED!
Bobbe Schu replied to Bobbe Schu's topic in Gastric Bypass Surgery Forums
FINALLY AFTER MANY MONTHS MY REVISION SURGERY HAS BEEN APPROVED!!!!! THANK YOU WALTER & KELLEY LINDSTROM, Lindstrom Obesity Advocacy, FOR NOT GIVING UP AND FOR MAKING THIS HAPPEN! I'm so excited I can hardly stand it. 2016 is going to be a year of wonderful changes in my life! -
My surgeon missed the Peer-to-Peer review to discuss my case!!!!!!!!!!!! SHE MISSED IT!!!! No one could find her -- they couldn't even find her PA. Now they can't reschedule it until May 20. I'm sooooo upset!!!! I have a lap band which has malfunctioned, but because I have a bmi of 38.6 and no "listed" co-morbidities other than asthma, pedal edema, and a major case of GERD, the insurance company denied my initial request for revision to gastric bypass. I've had a bilateral mastectomy and kidney cancer as well within the past 3 years, along with a knee replacement. So a Peer-to-Peer was scheduled for today and SHE MISSED IT!!!!
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The plan is to do it all at once so I don't have additional costs, more time off work and additional anesthesia.
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My p2p was last May. They approved lb removal but denied revision. That's when I hired Lindstrom Obesity Advocacy. Since then, I've had another denial; currently awaiting the second; then we will request an external review whereby my case MUST be reviewed by a subject matter expert and NOT a plastic surgeon or other physician totally uneducated in bariatrics. Just more waiting! I hate UHC!!!!
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Waiting is the hardest part!!! Your health continues to deteriorate while you "WAIT"! It's horrible!
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UHC Case worker
Bobbe Schu replied to crazysexycool93's topic in PRE-Operation Weight Loss Surgery Q&A
Unbelievable!!! And in the meantime, my health continues to deteriorate! -
Band Removal Approved; BYPASS DENIED!
Bobbe Schu replied to Bobbe Schu's topic in Gastric Bypass Surgery Forums
Yes. But now we move to the next step. I will not give up, nor will the Lindstroms! So happy to have them in my corner. Without them I would not have pursued this--wouldn't have known I had the choice.maybe its the third time is a charm thing. I wouldn't give up either. I was prepared to contact the Lindstrom group if I wasn't approved.Congratulations! I am so very happy for you! Do you have a date yet? -
UHC Case worker
Bobbe Schu replied to crazysexycool93's topic in PRE-Operation Weight Loss Surgery Q&A
Denied again! So Lindstrom's will appeal again! They were not at all surprised and said this was expected. Afterall, my appeal was reviewed by a PLASTIC SURGEON and not a doctor who specializes is bariatrics!!!! UNBELIEVABLE! Round 2 here we come!!!!! -
Band Removal Approved; BYPASS DENIED!
Bobbe Schu replied to Bobbe Schu's topic in Gastric Bypass Surgery Forums
Yes. But now we move to the next step. I will not give up, nor will the Lindstroms! So happy to have them in my corner. Without them I would not have pursued this--wouldn't have known I had the choice. -
PLEASE HELP!
Bobbe Schu replied to SamanthaWoodruff's topic in PRE-Operation Weight Loss Surgery Q&A
Well denied again, so we appeal again! Lindstrom's were not surprised. Said this is exactly what was expected. Appears my appeal was reviewed by a PLASTIC SURGEON and admittedly agreed that band removal was necessary. So if removal was approved and my original surgery passed all criterion, why not approve the NEEDED revision?!!!! Stinks! But I press on! -
Band Removal Approved; BYPASS DENIED!
Bobbe Schu replied to Bobbe Schu's topic in Gastric Bypass Surgery Forums
DENIED AGAIN! ANOTHER APPEAL! Kelley wasn't surprised. It seems my records were reviewed by a PLASTIC SURGEON!!! Duh!!! -
Band Removal Approved; BYPASS DENIED!
Bobbe Schu replied to Bobbe Schu's topic in Gastric Bypass Surgery Forums
That's exactly what Kelley told me this morning. They really like to make one suffer! -
Band Removal Approved; BYPASS DENIED!
Bobbe Schu replied to Bobbe Schu's topic in Gastric Bypass Surgery Forums
Still waiting. Appeal was filed with UHC 10 days ago. The waiting is KILLING me. -
PLEASE HELP!
Bobbe Schu replied to SamanthaWoodruff's topic in PRE-Operation Weight Loss Surgery Q&A
You're so sweet! Thank you so much for thinking of me! Praying too! -
PLEASE HELP!
Bobbe Schu replied to SamanthaWoodruff's topic in PRE-Operation Weight Loss Surgery Q&A
Walter Lindstrom filed my appeal yesterday after finally receiving all of my medical records. So now we wait to see what happens. Fingers crossed for reversal of the denial! Really anxious! I must say I am in awe over the appeal letter. It is truly amazing! If you need help with your appeal, Lindstrom Obesity Advocacy is the only way to go. I never could have written anything this powerful! -
You really need to contact Lindstrom Obesity Advocacy if your insurance company is forcing you to jump through hoops for a revision. They're working on mine now and I'm so excited. First consult is free and they are wonderful. Time and money well spent!
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UHC Case worker
Bobbe Schu replied to crazysexycool93's topic in PRE-Operation Weight Loss Surgery Q&A
I have UHC and they are MORE than impossible!!!! I have had to hire Lindstrom Obesity Advocacy to handle my appeal because UHC denied my revision! I'm so sick and tired of messing with insurance companies!!!! -
Band removal approved; bypass denied!
Bobbe Schu replied to Bobbe Schu's topic in Insurance & Financing
I did have a peer to peer which is when they approved removal of band but not the revision. So I hired an advocate and they are working on the appeal. It just seems like it's taking such a long time and I'm so very discouraged! Confident, but discouraged. I've now developed high blood pressure and feel like absolute crap! Trying so hard to be patient but just want this over with! I know in the long run the wait will be worth it, but for now I'm a mess! -
I'm so depressed! Don't I deserve a 2nd chance? The removal of my band was approved but the bypass denied. So if I have the band removed, I'll gain a bunch of weight and then where will I be? I've already gained 11 pounds just since all of the Fluid was removed from the band. I am beside myself. I don't have the kind of money to self-pay. Should I fight this? I'm told I need 6 month weight loss documentation -- but the only thing I have are invoices from Nutrisystem where I tried them for 2 months approximately 6 months ago. Will that qualify? I just don't know what to do. Any advice?
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????Any May Gastric Bypass peeps????
Bobbe Schu replied to Salonboi's topic in Gastric Bypass Surgery Forums
Mine is Dr Jones in the same office