joyaskins34 31 Posted May 3, 2013 For 6 long months I have stalked this forum and have messaged back and forth to several sweet ppl.Friday I was denied approval for surgery ..yesterday denied again because they said my Bmi wasn't consistently @ least 40 for past 3 years.. it was like 38 ..even tho I have severe to moderate sleep apnea my "score " was not a 50 on sleep study.so my hopes and dreams of having this surgery, changing my life& trying to love the skin I am in were washed.so to all the sweet supportive ppl on this forum thank u! Unfortunately this forum will no longer apply to this girl ..sad sad but happy for all of u who will have and have had the surgery to get your life back. Share this post Link to post Share on other sites
Krystal7k 243 Posted May 3, 2013 For 6 long months I have stalked this forum and have messaged back and forth to several sweet ppl.Friday I was denied approval for surgery ..yesterday denied again because they said my Bmi wasn't consistently @ least 40 for past 3 years.. it was like 38 ..even tho I have severe to moderate sleep apnea my "score " was not a 50 on sleep study.so my hopes and dreams of having this surgery' date=' changing my life& trying to love the skin I am in were washed.so to all the sweet supportive ppl on this forum thank u! Unfortunately this forum will no longer apply to this girl ..sad sad but happy for all of u who will have and have had the surgery to get your life back.[/quote'] Im so sorry im really sad for you I'm actually crying for you I know how much this means to people having this surgery goodluck to you you are always welcome here Share this post Link to post Share on other sites
LilBoo007 491 Posted May 3, 2013 My heart hurts for you : ( I'm soo sorry they keep denying you.. I had that happen about 9 years ago and now I finally got it, so don't give up hope for what you want!! Take care ! Share this post Link to post Share on other sites
ArmyOfMe 82 Posted May 3, 2013 Hugs, Joy. I will say a prayer for you. I am hoping for a miracle for you. 1 joyaskins34 reacted to this Share this post Link to post Share on other sites
Sparklette 381 Posted May 3, 2013 For 6 long months I have stalked this forum and have messaged back and forth to several sweet ppl.Friday I was denied approval for surgery ..yesterday denied again because they said my Bmi wasn't consistently @ least 40 for past 3 years.. it was like 38 ..even tho I have severe to moderate sleep apnea my "score " was not a 50 on sleep study.so my hopes and dreams of having this surgery, changing my life& trying to love the skin I am in were washed.so to all the sweet supportive ppl on this forum thank u! Unfortunately this forum will no longer apply to this girl ..sad sad but happy for all of u who will have and have had the surgery to get your life back. I'm so sorry! That's awful! I'm sure your time will come, Just don't let it kick you down! Rny or not, we are here to support you! 1 joyaskins34 reacted to this Share this post Link to post Share on other sites
babs963 201 Posted May 3, 2013 I'm so sorry! 1 joyaskins34 reacted to this Share this post Link to post Share on other sites
DLCoggin 1,788 Posted May 3, 2013 Joy our hearts go out to you but I would encourage you to not give up. Have you discussed options with both your surgeon and your primary care physician? Insurance companies follow a protocol which is really nothing more than a checklist. A lot of folks have been denied only to be approved after some fine tuning in the information submitted to the insurance company. Most insurance companies will approve rny for folks with a BMI of 35 or greater and two co-morbidities. You mentioned sleep apnea. Hypertension, type 2 diabetes, cardiac, some forms of arthritis and/or osteoporosis are just some of the possibilities. Keep trying! Never give up! If they want a fight, give 'em one! You will find the "right formula" and once you're approved, it's illegal for the insurance company to back out. We all can appreciate your frustration but tough situations never last. Tough people do! 2 Sparklette and joyaskins34 reacted to this Share this post Link to post Share on other sites
joyaskins34 31 Posted May 3, 2013 Joy our hearts go out to you but I would encourage you to not give up. Have you discussed options with both your surgeon and your primary care physician? Insurance companies follow a protocol which is really nothing more than a checklist. A lot of folks have been denied only to be approved after some fine tuning in the information submitted to the insurance company. Most insurance companies will approve rny for folks with a BMI of 35 or greater and two co-morbidities. You mentioned sleep apnea. Hypertension' date=' type 2 diabetes, cardiac, some forms of arthritis and/or osteoporosis are just some of the possibilities. Keep trying! Never give up! If they want a fight, give 'em one! You will find the "right formula" and once you're approved, it's illegal for the insurance company to back out. We all can appreciate your frustration but tough situations never last. Tough people do![/quote'] Thank u DL I am overall healthy despite needing to loose 100 pounds.. So there for I have no other comorbids.. for that I am thankful .my sleep apnea score was moderate to severe but not scored high enough ..it needed to be 50 or greater...so now I am pondering calling them ..as far as doc is concerned I am a tall 5'8 if only I was 5'7 there would be no concerns I'd been approved :/ I suppose they wanna wait til I have another issue heck I don't know lol! I'm just frustrated and let down ..but all of your kind words sure are uplifting! Share this post Link to post Share on other sites
jules75 12 Posted May 3, 2013 Hey Joy, have you considered self pay? I am in a similar situation and have opted to go to costa rica. I have been there for other surgeries in the past. The doctors are fantastic. And the price is $8500. financing is also available. I am going this august for my GBP. Just something to consider. Share this post Link to post Share on other sites
joyaskins34 31 Posted May 3, 2013 Hey Joy' date=' have you considered self pay? I am in a similar situation and have opted to go to costa rica. I have been there for other surgeries in the past. The doctors are fantastic. And the price is 8500. financing is also available. I am going this august for my GBP. Just something to consider.[/quote'] The prob with that is the hubby& to be honest I would b scared to do that... Hubby would flip @ that thought of me going out of the country for surgeryt!!if insurance paid for it he was semi ok with the thought because he had no say really but to just pay out right no.. All tho he did say he would pay for any nips tucks I wanted... He is not a huge fan of RNY!! Share this post Link to post Share on other sites
padlrd 183 Posted May 3, 2013 You just need to talk with your surgeon and pop there the ones to get it approved before you do have other problems Share this post Link to post Share on other sites