th186607@gmail.com

I am seeking a new doctor that is willing to fight my insurance for the sake of the their patient (ME). I have been going thru 7 months of dr. appts, guided and recorded diet for 6 months, 6 months of dietician appt., 2 sleep studies, cardiologist, a psychologist, and we had United Health Care and they gave all the requirements for consideration and I met all those. At finalizing all of it, my husband's job changes their insurance to Aetna POS II and they are saying that Bariatric is excluded. I was told that I needed to have dr. office submit a "medically necessary" with all the clinicals and they would put it thru their medical team. Well, it was just said (on telephone and not received letter of denial yet) that it is excluded. That they will remove a band or fix a current bariatric surgery issue. I have had the lapband and had it removed in 2009. Worst 6 yrs ever! Throwing up all the time. I have had a plication. I WANT THE SLEEVE. Lets SAY IT THIS WAY, i NEED THE SLEEVE!!!!! I WANT A DOCTOR (and apparently mine isn't a fighter) that will fight for this with me!!!! After all, what did they take their oath for? Preserve Health of people. Oath, one is "I will prevent disease whenever I can, for prevention is preferable to cure" I have a disease, OBESITY Morbid! I have SEVERE OBSTRUCTIVE SLEEP APNEA, high blood pressure. I am a perfect canidate for this. I just need a doctor that is willing to go the mile with me and FOR me! Is there such a doctor? my current doctor (or should I say his office staff) does not seem like they are concerned with getting this thru. They were all eager in the beginning and now there needs to be a push with the insurance - they are hardly returning my calls, and says I need to contact my HR Dept.(which I have - waiting on a call to be returned from them). I am ready for this. I need this.

Update of my fight with this. The doctor's office did say that I had to fight with the insurance company. The HR guy at the employer where my husband works has stated that the policy was to be "identical" and go "hand in hand" with what was covered by UHC in the previous coverage policy. Aetna says "no it is excluded" that the HR Dept can permit them to make an exception and include this for me. Also, they said that the UHC still can extend the coverage to cover this, if HR says it's ok. So I have no idea. I don't want to get my hopes up to get shot down. But I want and need this very much. I have severe obstructive sleep apnea, high blood pressure, and a bmi of 40, also my EKG came back bad. Seen a cardiologist and he says the weights got to go. I am 5'5" at 247# and have had this issue for 30+ yrs. with the weight. I am keeping in direct contact with the HR guy. I just don't want to seem like a pain in the ass, cause I don't want him blowing me off. I want him to work and get this passed. Any suggestions please pass my way! I am desperate to get this. Thanks ya! Theresa

my current doctor (or should I say his office staff) does not seem like they are concerned with getting this thru. They were all eager in the beginning and now there needs to be a push with the insurance - they are hardly returning my calls, and says I need to contact my HR Dept.(which I have - waiting on a call to be returned from them). I am ready for this. I need this.