blaze_pixie

I finally got the phone call i have been waiting for from the financial reviewer yesterday about the insurance companies decision. I GOT DENIED....WTH.... Seriously how is that even possible. Come to find out my last health care provider didn't schedule me for a full 6 months weight management it was 5 1/2 months.... really. And they said i gained 4.5 ponds then. Plus now my insurance company ( Priority Partners) started a month ago where your required to keep a food log and exercise log.... i was never told this when i was doing all the requirements. So i balled like a baby because this means i will have to start the process and tests all over again. What the insurance company fails to give a crap about is that i have a large ventral hernia that has been causing me pain and health problems since i had a c-section with.my lil girl 2 1/2 years ago. Yet now i will have to wait another 6-8 months for WLS and then another 6-8 months after that for the hernia surgery. Im Soooo frustrated i just want to crawl in a hole and give up. This isn't fair that i have to stay in pain and suffer longer because my old doctor don't know how to freaking Count.

So does anyone know of how to do a blog and post their journey on like fb or something like that

I wouldn't have to do the EKG or sleep study and blood work again. My new doc just did EKG n redid my labs and the sleep study I did back in feb of this year and was diagnosed with Severe Sleep Apnea. I did call the insurance company to find out about the appeal process and gave my doctor all the information because he is the one that is required to appeal in writting. Anyway the insurance requires logs but don't have a clue how to obtain them to fill them out. I think that's just another stupid loop hole for another denial. But I'm really frustrated.

Divarn34 I suggest you get a new pcp.

Hello fellow lady sleevers in Maryland. Im new. Name is Tasha. Im pre-op. Don't have a set date yet due to waiting on insurance Ofcourse. But i live in Baltimore city heading to the county. Im going to have my surgery at Bayview with Dr. Hein Nguyen. I do hope that it will be no longer then October of this year. I will pray for you ladies a speedy process and great recovery as well as a wonderful new life in your new bodies.

You can contact your insurance and complain and see if they can lite a fire up under his/ her butt or you want them to cover you going to one that will do what your insurance is paying them to do.

Hi im new and just wanted to say please don't let it get the best of you. I have been going throught this pre-op stuff since July of last year its crazy. I wanted to throw the towel in but i can't. I have no choice but to get this operation and then six months after this surgery i will have to have another one to repair a large ventral hernia. Its rough but we will make it. I agree get a different psychologist to do your evaluation.