SeattleLady 277 Posted August 10, 2019 Keep the appeals and bury them in covered specialists. Drop money into a pretax health saving account if you think about out of pocket. Canada May be an option too. I just hate the wait. I know it will get done. I was told today that I just need to provide that it is necessary. Fight, fight and fight again. Sent from my SAMSUNG-SM-G935A using BariatricPal mobile app 1 1 ProudGrammy and SeattleLady reacted to this Share this post Link to post Share on other sites
m.simpson88 56 Posted August 10, 2019 I was just watching a YouTube who had done a lot of research and she found a website where they fight for the revisions and surgeries to be approved after they are denied. They work and get you approved. Might be something to look into. The website is www.wlsappeals.com and it is called Lindstrom Obesity Advocacy. 2 1 mlmx1138, SeattleLady and FluffyChix reacted to this Share this post Link to post Share on other sites
New&Improved 1,780 Posted August 10, 2019 Change insurers if you can and tell them you will do it 1 SeattleLady reacted to this Share this post Link to post Share on other sites
SeattleLady 277 Posted August 10, 2019 Thank you all so much. There is a planned meeting/appeal/review in 2 weeks. I am fighting for my health. Sent from my SAMSUNG-SM-G935A using BariatricPal mobile app Share this post Link to post Share on other sites
GreenTealael 25,439 Posted August 11, 2019 6 hours ago, SeattleLady said: Thank you all so much. There is a planned meeting/appeal/review in 2 weeks. I am fighting for my health. Sent from my SAMSUNG-SM-G935A using BariatricPal mobile app Onr small word of advice if you are to attend the planned meeting : Fight smart not emotionally. Insurers are inoculated against cries (they often deny life saving treatments, yours is nothing in comparison) Present clear precise evidence-based materials especially details about timelines/ projected length of illness, known complications and expenses associated with further half step treatment Otherwise your physician may do this for you Good Luck good vibes your way 💜 4 Deedee12, FluffyChix, ProudGrammy and 1 other reacted to this Share this post Link to post Share on other sites
SeattleLady 277 Posted August 11, 2019 Onr small word of advice if you are to attend the planned meeting : Fight smart not emotionally. Insurers are inoculated against cries (they often deny life saving treatments, yours is nothing in comparison) Present clear precise evidence-based materials especially details about timelines/ projected length of illness, known complications and expenses associated with further half step treatment Otherwise your physician may do this for you Good Luck good vibes your way Thanks, I am working on gathering the information and planning my attack. I am not an overly emotional type person. I fight with facts. I work the system. I am just tried of being in pain. Mexico or selfpay is not an option. I have been through life or death surgeries. I never given up. This is not only important to me; it effects my family. Sent from my SAMSUNG-SM-G935A using BariatricPal mobile app 2 1 m.simpson88, ProudGrammy and FluffyChix reacted to this Share this post Link to post Share on other sites
GreenTealael 25,439 Posted August 11, 2019 1 hour ago, SeattleLady said: Thanks, I am working on gathering the information and planning my attack. I am not an overly emotional type person. I fight with facts. I work the system. I am just tried of being in pain. Mexico or selfpay is not an option. I have been through life or death surgeries. I never given up. This is not only important to me; it effects my family. Sent from my SAMSUNG-SM-G935A using BariatricPal mobile app Keep your eyes on the goal and adjust it if you need to Good Luck 1 SeattleLady reacted to this Share this post Link to post Share on other sites
SeattleLady 277 Posted August 24, 2019 I am winning. I will get my date by October 2019. Sent from my SAMSUNG-SM-G935A using BariatricPal mobile app 3 1 GreenTealael, ProudGrammy, Sassylady1 and 1 other reacted to this Share this post Link to post Share on other sites
SeattleLady 277 Posted August 24, 2019 I am approved. Waiting on a date!Sent from my SAMSUNG-SM-G935A using BariatricPal mobile app 4 4 Panda333, SeattleLady, GreenTealael and 5 others reacted to this Share this post Link to post Share on other sites
GreenTealael 25,439 Posted August 24, 2019 Perfect! 1 FluffyChix reacted to this Share this post Link to post Share on other sites
Lynda486 784 Posted August 24, 2019 What awesome news! 2 SeattleLady and FluffyChix reacted to this Share this post Link to post Share on other sites
SeattleLady 277 Posted August 27, 2019 Ok, the only thing I did not understand? I am approved? If I agree to start over. Like no previous testing, surgeries and wait for an undetermined time. So, no clue how long this is going to take. I feel excited and mad at the same time. Sent from my SAMSUNG-SM-G935A using BariatricPal mobile app 1 1 1 FluffyChix, ProudGrammy and SeattleLady reacted to this Share this post Link to post Share on other sites
SeattleLady 277 Posted August 29, 2019 It will 6 take months so March 2020. I don't know how to feel. I don't have a weight lost goal. However, I have to see everyone like the nutritionalist/doctor, Bloodwork and EKG. I don't know whether to be happy or mad. I want to get off the rollercoaster. So I amSent from my SAMSUNG-SM-G935A using BariatricPal mobile app 1 ProudGrammy reacted to this Share this post Link to post Share on other sites
pssk 225 Posted August 29, 2019 That is very odd for a medically necessary revision due to GERD. Did the insurance company even read your history? Maybe surgeon can fight the six month wait? 1 FluffyChix reacted to this Share this post Link to post Share on other sites
SeattleLady 277 Posted August 30, 2019 That is very odd for a medically necessary revision due to GERD.Did the insurance company even read your history?Maybe surgeon can fight the six month wait? We will see. The hardest part? I plan to start graduate school in Jan. Wow 2020 will be a year of transformation. Sent from my SAMSUNG-SM-G935A using BariatricPal mobile app 1 ProudGrammy reacted to this Share this post Link to post Share on other sites