Mrs Sabre

I faxed out the appeals letter early this afternoon. I may not have the specific co-morbidities they're looking for, but I was able to come up with 7 of my own for which weight loss would help if not cure the problem. Just listing them out, they don't sound like much. When you include the effects they have on your health and/or quality of life, they sound a lot more detrimental. I'm sincerely praying that UHC will look at the whole picture and see how much I need this!

OK, it sounds like this Saturday has officially been washed? I should still be able to make lunch on May 20th.

I'm typing an appeals letters as we speak and will fax it to them today. Kim, I'll fax a copy over to Dr. V's office too. I'm going to ask that they look beyond their predetermined list of co-morbidities and consider my total health (past, present and future) and reconsider payments of benefits. I don't see me going as far as getting a lawyer. If not approved after an appeal, I'll look into financing options. I'm not sure that John and I can swing it, but we'll see. If I have to finance, I may have to wait until John's truck is paid off in another year.

On top of being denied on Monday, I failed to mention the new puppy dog, Max, tore a big chunk out of the corner of our couch and we took him back to the animal rescue :confused: Both discoveries were made within an hour of each other. It wasn't a good day! I'm writing an appeal letter as we speak, and will fax it to them later this morning. I don't know that I'll go as far as getting a lawyer, but I will argue my case.

Bless you all for the words of encouragement! My Mom and Dad are both overweight (although not as much as I am). Both parents have high blood pressure. My Mom's cholesterol is over 400 without medication. My Dad has non-insulin dependent diabetes. My brothers are both lean and healthy so far. As of Thursday last week, I have a diagnosed pinched nerve in my lower back to add to my list. I'm sure my weight doesn't help it any, and the resulting pain is making it impossible to exercise. After a long 8 months, it's really hard to continue to be patient, but I am going to appeal.

I have hypothyroidism, restless leg syndrome with periodic limb movement disorder, mild-moderate sleep apnea (but not bad enough for a CPAP), depression, mild stress incontinence (embarrassing to admit). I now have a pinched nerve in my lower back, which is made worse by my weight. I don't have high blood pressure or diabetes, or those more "serious" co-morbidites but had hoped that the numberous less serious ones added together might be enough for approval?

I still have coffee/smoothies at Carolina Place Mall penciled in for Saturday if others can make it. What time? 10 a.m.? If we do this, I'll be bringing my Mom. Shoot, even if we Charlotte area LBT folks don't go I may drag my Mom off to Carolina Place.

Kim called me from Dr. V's office this afternoon. They are faxing my paperwork to UHC today (if they can get the fax to go through)!!! :clap2: Yippee Skippy! I hope everyone has a great weekend! Talk to you Monday

Happy Easter Everyone! He Is Risen! He Is Risen! :biggrin1:

My file is still "under review". I was so hopeful that it would be approved very quickly as others' with UHC through Wachovia have been. Wishful thinking I guess. I just hope this isn't a subtle indicator that it's going to be denied or otherwise delayed for additional information from Dr. V? I went back to my PCP yesterday. My right leg cramps are from a pinched nerve, which come to think of it makes sense. He gave me an anti-inflammatory and muscle relaxers. I was only suppose to fill the script for the muslce relaxers if the cramps weren't improving in about 3 days. Not having slept very good for months now, I filled them and took the maximum dose. I had to stay home from work today because I was too loopy to drive! It wasn't the smartest thing I've ever done. I have to say, I did sleep well. :uwelcome:

I've called, and called, and called. I keep getting "it's under review". :bored Boring! Oh well, it'll happen sooner or later ... or not?

Oh Kim, I never thought Dr. V would put a date that far out on anything, much less a holiday. It's probably UHC's standard procedure to put a date three months out to allow for pre-op tests? WavyDaby - nice answer! :Banane04: It's interesting to know that guinea pigs are "cavies".

Good morning folks! I did call again yesterday evening ... twice. As has been my history dealing with UHC, I haven't spoken to the same person twice, or have I gotten the same level of reply detail twice. They're back to telling me that it's "under review", and nothing else. :Banane04: Oh well, I'm still hanging in there!

Can do. I guess I'll need to take one soon? :Banane04:

I spoke with somone in Care Coordination at UHC again today. She said my file is in the final stage and could be finished today. She even encouraged me to call back later, and said I could reach someone as late as 9 p.m. EST. She also said once final a letter is immediately generated/mailed. Kim, Dr. V put a July 4th surgery date on my paperwork? The care coordinator at UHC moved the date up to Apr 26th because she said once finalized it could be moved back a lot easier than moved up. I won't miss church for this, but I might ditch out of choir practice a few minutes early! Say a prayer for me ladies! I might actually know something by this time tomorrow. :clap2:

Melissa, that dress is lovely. Yes, please take pictures. Angie, you never did say why the doc thought you were having that pain? Kim, if you get board when you finish Curtis' room, I have some closets I could use help with! OK, where is everyone else? ... and can I remember everyone's names? Jennifer, Stacy, Sherrie, Wavy? I know I'm missing people; who else? Come out, come out, wherever you are! John accidently splashed PCP pipe glue in his eye last night; so we spent our evening in the ER. He's going to be fine, but that's some heavy duty glue and burns like crazy. Fortunately, there were no scratches on the cornea, and it didn't stick his lids together. As for me, I'm going back to my PCP as soon as I can get an appointment. I'm having chronic leg cramps in my right leg, from my waist down to my ankle and just about every muscle. They started three months ago, and seem to be getting worse. I don't know if I have a Vitamin deficiency, if it's a really bad flair of my restless leg, or some weird medication interaction? Also, I talked to UHC yesterday. My file is still under review.

My name is Karen. I live in Belmont, which is southwest of Charlotte. I have been working on getting a band since Aug/Sept of last year. My paperwork has gone to the insurance, and I impatiently await a determination I am wife to John (second marriage for both), mother to Alyssa age 22 and mother-in-law to BJ age 26; no grand babies for a few more years. I work in a business unit finance area at Wachovia. Kim (gordonfamily3) and I used to work in the same accounting group before our division was sold. I miss you Kim!

Hey Angie, good to see you! Does the doc know what's causing the pain? I'd worry about that before I'd worry about a swift kick in the tush. Get better 1st and then worry about getting back on track. OK, I'll jump off my soap box now :scared: I'll try to catch you up real fast. We've talked about NJ batmizphas, wedding anniversaries, having a better month, booby lumps & mammograms, Curtis' 3rd Birthday, a social dress for Melissa's daughter, puppy dogs, and Jennifer's funk. OK ladies, did I miss anything?

I'm not big on sliver, but my daughter is. I'll send her the link! My SIL is going to hate me! :scared:

Wavy, calling every other day is what got me frustrated in the first place. I think it's time I step back and let Dr. V's office handle it. OBTW, what does "wavydaby" mean? ... and does "Crazy about cavies" mean you like spelunking? Inquiring minds want to know :scared:

Kim has been on the phone with UHC again, and has confirmed that UHC has someone working on my case. Woo Hoo! :clap2: :high5: :high5: :target: :roll: :Banane59: :Banane43: :waytogo: :eek: :Banane44: :Banane25: :Banane39: :Banane33: :couch2: :Banane57:

I hope to post a picture soon

We got another dog! :clap2: Merlin, our hare-lip border collie pouted for two days after my brother left and took his dog, Gracie, home. So I/we adopted another animal rescue dog. I think we might name him Max. He's about 7 months old and is some kind of collie mix. He's like Merlin's blonde counterpart. I think he will be about the same size as Merlin once he finishes growing.

Oh no Kim; I don't think it's anything you have or haven't done! I think it's UHC; I haven't talked to the same person twice. I'm just ready to let it ride and happen in His time, instead of being so impatient.

:faint: OK, I'm confused! I called again. I should have been more specific last week. Apparently the paperwork they received last week had something to do with the ultrasound I had done and not my surgery? Kim called yesterday and got a tracking number. I called again today, and again they told me they had no record of my predetermination paperwork. I didn't have the tracking number when I called today.