jojo64

Well I am also suppose to hear sometime this week if I am approved for the surgery. I have only told 3 people and that is it. My sister in law decided to tell the neighbors and they confronted me. I heard it all do you know what you are doing, this could kill you. Stop do you think I am that stupid that I do not know what I am doing. That my doctor also recommended this. So just from that reaction I am not saying a word to anyone. My boss I am telling him that I am having knee surgery. He does not have to know, all he has to know is that I might be taking off. Ok so once the paperwork is filed with HR they can't say anything. NONE OF ANYONE'S BUSINESS BUT MINE :thumbup:

that is the funny thing about all of this. UHC approved all of the tests that I went thru for the surgery. So once they were paying they already knew that the final outcome was going to be and that was the surgery. I still got denied.. This is the first time that I am haveing any issues with them anything they just paid with no questions. The worst part of all of this is that I started this process the begining of May. I am starting to lose faith about getting approved that is for sure

The doctor I had growing up I have not been to in over 15 years. I tried calling her and she said that my records were destroyed because of inactivity. I never went to any other doctor since then. I wrote a letter in the appeal process trying to convience them of using some other form for the record. I will find out in probably about a week or so.

They already stated that they will not cover the surgery because I do not have 5 years. I can only account from 2005. I am appealing it but I still think they are going to give me a hard time.

I know this is old news about insurance not covering the surgery. Well I have UHC Choice Plus and like everyone else here I was denied the coverage because of the 5 year diet history. The only thing that really gets me mad is that not only did I go thru all the tests and even checked with UHC before I started all of this and I was covered nothing was mentioned about 5 years as long as there was diet history. They also mentioned about the co morbid conditions. Now I have most if not all of them starting with type II, sleep apnea, High blood pressure, High Chl, Arthritis in both knees and even had surgery on one of them. Going thru all of this I am also suffering from depression. I am at this time appealing the claim at this time. I have letters from my PCP, Therapist, and even Psychiatrist. I don't think I am going to get approved anyway but I did not want to just sit back and take what they say.