Denied

[kdelrosso 124]

I am so discouraged. My surgery was denied. It's scheduled for a week tomorrow. (Dec 17) I am hoping the doctors office some how gets this approved but I am so upset. I've already a week into my liquid diet and down 12 lbs and 7 inches and all I want in my life is to continue this path and I'm going to be so devastated if if doesn't get approved. I need to have surgery before Jan 1st because my out of pocket is met so there will be no money out of pocket for me. I can't afford it next year my OOP is 3750 and I'm getting married in October. I just don't have the money. I'm so heartbroken. Sorry for the complaining. I just needed to vent to people who understand.

[jennaggie 43]

Was there a reason it was denied? I'm self pay so I guess I never thought of being denied as an option as long as I passed all the Tests and lost the pre surgery weight...

[Amy Wolfe 49]

Ooooh i feel you. I need mine this year for oop reasons as well.my surgery is Monday. If i got denied right now after being on pre op for 10 days id easy life a maniac for my sadness but stay strong and fight girl you've come toooo far.

Ooooh i feel you. I need mine this year for oop reasons as well.my surgery is Monday. If i got denied right now after being on pre op for 10 days id eat like a maniac for my sadness but stay strong and fight girl you've come toooo far.

[kdelrosso 124]

Was there a reason it was denied? I'm self pay so I guess I never thought of being denied as an option as long as I passed all the Tests and lost the pre surgery weight...

According to my insurance that they didn't get any of the needed information. Like pcp approval, nutritionist visits, and whatever else I forget but my surgeons office said they sent everything in. So I am just so confused and upset.

[kdelrosso 124]

Ooooh i feel you. I need mine this year for oop reasons as well.my surgery is Monday. If i got denied right now after being on pre op for 10 days id easy life a maniac for my sadness but stay strong and fight girl you've come toooo far.

Ooooh i feel you. I need mine this year for oop reasons as well.my surgery is Monday. If i got denied right now after being on pre op for 10 days id eat like a maniac for my sadness but stay strong and fight girl you've come toooo far.[/quote

That's how I'm feeling right now. I literally just want to shove my face with a Big Mac bc I am so frustrated. I am not enjoying these shakes but I am doing so well on them , but all I can think of is that there is no point anymore. I'm hoping when I speak with the insurance coordinator tomorrow she has some game plan. She needs to work for her money now. I did everything I needed, so now she needs a to get it approved

[sweettiff 12]

Don't be discouraged. I was denied right after completing everything the insurance company wanted me to do. They forced me to have 2 additional nutrition visits and then gave me 30 days to have it done. My physician's office worked hard on my behalf and helped me get those appointments in. I'm now approved but my insurance now said I must get it done in this calendar year and they told me that only 2 weeks ago. I felt discouraged because my surgery date is January 13th. Just stay on track and don't worry too much. It will work out for you.

[Proud2BMe 1,016]

Just a bit of a rant, I keep reading people post over and over again how they can't afford the surgery if they have to pay out of pocket. Let's get real for a second. Such claims are patently false. Thousands of people go to Mexico each year and pay for their own surgery. Countless others do self-pay in the states. Not everyone is wealthy yet the majority of people who are dedicated to the surgery will find a way to pay for it if they must. I managed to raise enough for my surgery in Tijuana without having a steady income. You can do it as well just change your mind set and don't let obstacles stop you. If all your avenues are denied then you can save enough money to have your surgery out of pocket.

[HopeandAgony 566]

Just a bit of a rant, I keep reading people post over and over again how they can't afford the surgery if they have to pay out of pocket. Let's get real for a second. Such claims are patently false. Thousands of people go to Mexico each year and pay for their own surgery. Countless others do self-pay in the states. Not everyone is wealthy yet the majority of people who are dedicated to the surgery will find a way to pay for it if they must. I managed to raise enough for my surgery in Tijuana without having a steady income. You can do it as well just change your mind set and don't let obstacles stop you. If all your avenues are denied then you can save enough money to have your surgery out of pocket.

Normally I don't engage in conflicting opinions because everyone has their own but felt I needed to share the other side of yours. In today's economy there are many people who live pay check to pay check. A few thousand dollars doesn't come easy in today's world unfortunately. The frustration for people to think they'll have insurance coverage then realize they don't and be faced with the prospect of raising this money on their own is overwhelming and frankly they have the right to be sad and frustrated. Your way isn't always possible. I like your thought, it's just not always viable. Especially not in a quicker time frame which most are aiming for.

Edited December 11, 2015 by HopeandAgony

[lkm_rtr09 7]

Was there a reason it was denied? I'm self pay so I guess I never thought of being denied as an option as long as I passed all the Tests and lost the pre surgery weight...

According to my insurance that they didn't get any of the needed information. Like pcp approval, nutritionist visits, and whatever else I forget but my surgeons office said they sent everything in. So I am just so confused and upset.

Same thing happened to me. Doctors office didn't make sure everything was received and it wasn't so I waited two weeks and was denied. Then had to resubmit and wait 30 more days on an appeal. Thankfully this all happened to me back in October -November and I got approved December 2. I feel your pain there's nothing in the world worse than trying so hard to make a positive change then being shot down on a technicality!! Praying it works out for you!!

[kdelrosso 124]

Just a bit of a rant, I keep reading people post over and over again how they can't afford the surgery if they have to pay out of pocket. Let's get real for a second. Such claims are patently false. Thousands of people go to Mexico each year and pay for their own surgery. Countless others do self-pay in the states. Not everyone is wealthy yet the majority of people who are dedicated to the surgery will find a way to pay for it if they must. I managed to raise enough for my surgery in Tijuana without having a steady income. You can do it as well just change your mind set and don't let obstacles stop you. If all your avenues are denied then you can save enough money to have your surgery out of pocket.

I am quite aware people go to mexico every year to get this surgery done. And that surgery still costs more than my OOP. There are many sides to things and you don't know my whole life story. So to insinuate that because I can't afford it next year that I'm not committed is rude and unnecessary. If you need to know I am on disability right now due to having a revision of my cervical fusion . So I cannot work and I don't get paid my full paycheck being on disability with my job. I am on my last legs with my job since they want me back to work and I can't being I am in a neck brace and can't move my neck. I am STILL paying off a medical bill from January which applied to my OOP because I had a lot of problems due to my neck before we found out the issues. I am getting married in October out of the country so I need to pay for a destination wedding. I could ask my parents for the money but I am 28 years old and I am trying to be an adult, and this was just rude. You do not know my story or why I wouldn't be able to afford. I commend anyone who does self pay. But I myself cannot when I am going to be starting a new life with someone. Thanks for your input.

[IJustWant2BeALoser 38]

For the record....I have a GREAT paying job and I am good at budgeting but if my insurance denied me, I would never be able to afford this with my mortgage, student loans, car payment, etc.

Everyone's situation is different. Hope everything got worked out @@kdelrosso

[kdelrosso 124]

Thanks for the support everyone ❤️❤️❤️it finally got approved yesterday so my surgery is on Thursday and I am so excited to start this new journey !!!!

[dede0314 356]

Congrats!!

[lkm_rtr09 7]

Thanks for the support everyone ❤️❤️❤️it finally got approved yesterday so my surgery is on Thursday and I am so excited to start this new journey !!!!

Awesome! Good luck to you!

[IJustWant2BeALoser 38]

Congrats!!!!