joyaskins34 31 Posted April 25, 2013 I know I probably shouldn't be asking this but Anyone who is a believer& prays .. I need it ! Today I spoke with my surgery coordinator she submitted all my info for surgery approval and minutes later they denied!! Because they said I didn't meet qualifications from last 3 years bmi She said she had no idea why they did this because that wasn't true I did! Also I have sleep apnea that requires Cpap ..they told her to mail in my paperwork and they would review it...she said if they deny again the surgeon would speak to medical director on my behalf..I need for then to approve this request this time..I so have my hopes up and want this so badly! I feel selfish for whining about this but I am so broken hearted and depressed! :...( 1 YoColeFleet reacted to this Share this post Link to post Share on other sites
DebbieG 262 Posted April 25, 2013 I know I probably shouldn't be asking this but Anyone who is a believer& prays .. I need it ! Today I spoke with my surgery coordinator she submitted all my info for surgery approval and minutes later they denied!! Because they said I didn't meet qualifications from last 3 years bmiShe said she had no idea why they did this because that wasn't true I did! Also I have sleep apnea that requires Cpap ..they told her to mail in my paperwork and they would review it...she said if they deny again the surgeon would speak to medical director on my behalf..I need for then to approve this request this time..I so have my hopes up and want this so badly! I feel selfish for whining about this but I am so broken hearted and depressed! :...( This is not a selfish request. You have a right to ask for prayers. If you've made the BMI over the last three years, and its documented, I would think the insurance co will be reconsidering your resubmitting of these documents to show proof. I can't imagine how you feel. Just hang in there and I'm sure it will all work out for the best. My prayers are with you and please keep me updated on the status of your approval. Good luck & God bless. Surgery date: May 14, 2013 1 v4victory reacted to this Share this post Link to post Share on other sites
joyaskins34 31 Posted April 25, 2013 Thank u Debbie! I somewhat expected it I don't know why ..I guess I figured this process wouldn't be easy for approval ...but I am praying it will get approved..I just want so badly to be happy with myself & healthy!!! Share this post Link to post Share on other sites
padlrd 183 Posted April 25, 2013 Sometimes this happens it will all work out there's little Angel watching over and knows what needs to be done and just pray cause you have lots of prayer behind you on this site Share this post Link to post Share on other sites
joyaskins34 31 Posted April 25, 2013 Sometimes this happens it will all work out there's little Angel watching over and knows what needs to be done and just pray cause you have lots of prayer behind you on this site Thank u I have prayed thru this whole journey that His will be done in my life .The selfish part of me just hopes this is part of His plan for my life You are right this site is full of wonderfully supportive folks! Ty! 1 Cami1908 reacted to this Share this post Link to post Share on other sites
doingit4me 9 Posted April 25, 2013 Prayers on the way. I was denied twice before my approval. Keep pushing, insurance companies would like you to give up and walk away. It will work out in the end. This is just a bump in the road. 1 joyaskins34 reacted to this Share this post Link to post Share on other sites
ElleG 394 Posted April 25, 2013 Praying for u! Hang in there!! 1 joyaskins34 reacted to this Share this post Link to post Share on other sites
Cami1908 30 Posted April 25, 2013 Prayer sent!! Blessings to u on ur journey. Just keep in mind that the insurance company is not the decider...God is!! Sent from my iPhone using RNYTalk 1 joyaskins34 reacted to this Share this post Link to post Share on other sites
Jacqueline K 93 Posted April 25, 2013 Praying for you too. I'm sure it will work out! 2 joyaskins34 and v4victory reacted to this Share this post Link to post Share on other sites
joyaskins34 31 Posted April 26, 2013 Thanks ladies I'm not giving up ???? Share this post Link to post Share on other sites
music1618 879 Posted April 26, 2013 I would look at it another way - you said your coordinator and surgeon will take care of things. Trust in their office because it sounds like the doc believes this is right for you. So keep the faith and let them do their jobs. In the meantime focus on eating right and exercise. Start making the life style changes now. Oh and prayers will be said for you! I know it is hard and frustrating to hurry up and wait, but we have ALL been there! Share this post Link to post Share on other sites
joyaskins34 31 Posted April 26, 2013 I would look at it another way - you said your coordinator and surgeon will take care of things. Trust in their office because it sounds like the doc believes this is right for you. So keep the faith and let them do their jobs. In the meantime focus on eating right and exercise. Start making the life style changes now.Oh and prayers will be said for you! I know it is hard and frustrating to hurry up and wait' date=' but we have ALL been there![/quote'] Music I def am letting them do their jobs;-) I just was extremely disappointed.as far as the life style change I have been walking /running for the past 2 weeks and have lost 12 pounds...my problem is I have trouble keeping it off..however I already feel better & that is a great motivator in itself..I can't wait til the mornings for my walk&run...don't exactly love it while I'm doing it but afterwards I feel great... Share this post Link to post Share on other sites
joyaskins34 31 Posted April 26, 2013 Music I def am letting them do their jobs;-) I just was extremely disappointed.as far as the life style change I have been walking /running for the past 2 weeks and have lost 12 pounds...my problem is I have trouble keeping it off..however I already feel better & that is a great motivator in itself..I can't wait til the mornings for my walk&run...don't exactly love it while I'm doing it but afterwards I feel great... Also thank u for the encouraging words Share this post Link to post Share on other sites
DebbieG 262 Posted May 1, 2013 Any update on the insurance and resubmitted info/docs?? Surgery date: May 14, 2013 Share this post Link to post Share on other sites
joyaskins34 31 Posted May 3, 2013 Yes was denied yesterday again because my sleep apnea wasn't scored high enough even tho its moderate to severe..my bmi was not consistently 40 for 3 years( it was 38-40) So this forum will no longer apply to me..I am devasted heartsick and just hurt .I just want to say thanks for all the sweet words and good luck to everyone! Share this post Link to post Share on other sites