So Sad!

[MonicaR 8]

I was supposed to have surgery tomorrow, but my insurance has a pre-existing condition clause so I have to wait until December. I was looking forward to it, but I'm disappointed. I am going to try & stay positive & start working out, eating better & get my fiances in order. It just sucks because I was looking forward to loosing some weight. Just so sad!

[ProudGrammy 8,322]

MonicaR

how awful being delayed

can tell you have a great attitude, starting to work out, eating better

you are entiled to be sad

good luck

[Serendipity 1]

I was supposed to have surgery tomorrow, but my insurance has a pre-existing condition clause so I have to wait until December. I was looking forward to it, but I'm disappointed. I am going to try & stay positive & start working out, eating better & get my fiances in order. It just sucks because I was looking forward to loosing some weight. Just so sad!

Sorry to hear this ;(

My op was cancelled yesterday (Friday) and was due to have it Tuesday so I understand x

[FDclerical 318]

I was supposed to have surgery tomorrow, but my insurance has a pre-existing condition clause so I have to wait until December. I was looking forward to it, but I'm disappointed. I am going to try & stay positive & start working out, eating better & get my fiances in order. It just sucks because I was looking forward to loosing some weight. Just so sad!

hiiii. im so sorry! i bet you are dissapointed but it will go by very fast. if you dont mind me asking, where are you from and what insurance do you have? what qualifies are pre exisiting condition and did your surgeon or insurance tell u about this before???

[MonicaR 8]

MonicaR

how awful being delayed <img src='http://www.bariatricpal.com/public/style_emoticons/<#EMO_DIR#>/angry.png' class='bbc_emoticon' alt='' />

can tell you have a great attitude' date=' starting to work out, eating better

you are entiled to be sad <img src='http://www.bariatricpal.com/public/style_emoticons/<#EMO_DIR#>/sad.png' class='bbc_emoticon' alt='' />

good luck[/quote']

Thank You!

[MonicaR 8]

hiiii. im so sorry! i bet you are dissapointed but it will go by very fast. if you dont mind me asking' date=' where are you from and what insurance do you have? what qualifies are pre exisiting condition and did your surgeon or insurance tell u about this before???[/quote']

I live in New Jersey, I have Horizon BCBS & I just started up with this plan in May even though I have been at my job for 6 years, the insurance is so expensive & as well as my co-pays. I got it because I have been having headaches & turns out I have really high blood pressure, severe sleep apnea(which they won't approve the cpap machine for me either), and hernia due to acid reflux. I am on all these medicines which my insurance doesn't cover, so it's been really hard finicially but I kept going because I wanted to get the sleeve. Now my insurance is saying I have to wait 6 months because they consider it a pre-exciting condition, it's like duh, yes I have been fat. It's so frustrating. My surgeons office just told me Friday & my surgery was for Monday. It's so unfair, I have insurance but they are not helping.

[FDclerical 318]

sorry if this comes through twice my comp just did something weird. anyways i cant believe your insurance said that. esp because all your conditons are probably related to your weight. i would appeal this AS SOON AS POSSIBLE! it doesnt sound fair at all to me. luckily i have state insurance where everything is free BUT they make me do 6 month dietician visits and my bmi is also 50. i would really try to fight this case as much as you can. ive always heard that you get approved faster esp if you do have pre exisiting conditions. ill pray for you grl!!!

[MonicaR 8]

sorry if this comes through twice my comp just did something weird. anyways i cant believe your insurance said that. esp because all your conditons are probably related to your weight. i would appeal this AS SOON AS POSSIBLE! it doesnt sound fair at all to me. luckily i have state insurance where everything is free BUT they make me do 6 month dietician visits and my bmi is also 50. i would really try to fight this case as much as you can. ive always heard that you get approved faster esp if you do have pre exisiting conditions. ill pray for you grl!!!

What state are you in? I wonder if New Jersey state insurance would cover it. Thank You for your kind words, good luck to you. When are you supposed to get it done?

[FDclerical 318]

im in Connecticut and because i have a daughter and make JUST under the income limit i qualify. do you have any kids? if you apply for state insurance because youve done all the prerequirements you would prob get approved. im supposed to get my surgery the end of september. no official date yet im too anxious for my own good!!

[MonicaR 8]

im in Connecticut and because i have a daughter and make JUST under the income limit i qualify. do you have any kids? if you apply for state insurance because youve done all the prerequirements you would prob get approved. im supposed to get my surgery the end of september. no official date yet im too anxious for my own good!!

I don't have any kids but I am gonna look into it to see if New Jersey covers it. September will be here before you know it.

[cmf1267 27]

I thought one of the things Obamacare was supposed to address was that insurance companies were not allowed to use pre-existing conditions. Maybe that doesn't start until next year. I have BCBS of Michigan and it's one of the best insurance policies I've ever had. I still have to have my psych eval before I can submit to insurance for approval. However, I do know that my insurance did require 6 months of medically supervised weight loss within the last 4 years. Did you have to have that? Maybe that's why they are making you wait. If not - I'd appeal. Have you spoken to your insurance company or did you just get this info from your surgeons office. I'd call them myself and speak to someone at BCBS myself to get clarification and check into the appeal policy.

[FDclerical 318]

I thought one of the things Obamacare was supposed to address was that insurance companies were not allowed to use pre-existing conditions. Maybe that doesn't start until next year. I have BCBS of Michigan and it's one of the best insurance policies I've ever had. I still have to have my psych eval before I can submit to insurance for approval. However, I do know that my insurance did require 6 months of medically supervised weight loss within the last 4 years. Did you have to have that? Maybe that's why they are making you wait. If not - I'd appeal. Have you spoken to your insurance company or did you just get this info from your surgeons office. I'd call them myself and speak to someone at BCBS myself to get clarification and check into the appeal policy.

hey CMF i had a question about your dietician appointments did your insurance/surgeon/ dietician specify HOW much weight you have lose within the 6 months? what do you mean within the last 4 years? im just wondering because my dietician says i need to maintain my weight ive only been able to lose 14 pounds in the last 4 months but my surgeon says bmi is so high i dont have to worry about being denied. theres always a chance though...

[cmf1267 27]

Hi Tatylish - I didn't have to show that I lost weight - I just had to show that I tried. I had gone through a weight loss program in 2010 that was medically supervised (& cost a boatload of money) and I did lose about 30 pounds but I don't think there is a specific number you had to lose. Also - I heard that many insurances only require 6 months of weighins. So within the last 4 years just means that I had to show that I had tried a medically supervised weight loss program sometime from 2008-2012.