JodyGK

Hi Joy -- I absolutely relate to how you must be feeling right now. You're afraid to hope too hard because you don't want to be too disappointed if things don't go your way, but you can't help but hope. At least that's how I felt waiting to hear from the ins co. I missed one of my six-month weigh-ins due to illness, which I *thought* was going to reset the clock to the following month. I had started in October and missed the December weigh-in completely. So I was sure the ins co was going to make me start over in January, and I wouldn't be finished with my six months until middle of July.

My PCP wrote a letter of explanation, and the surgeon's office submitted me after my May appointment, but I was *sure* the ins co wasn't going to approve me, and I was absolutely crazed waiting to hear. Took one week to the day to go through "nurse review," but I was approved! I'm hoping and praying for you to be approved too! Got everything crossed for ya!

Jody

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Lap RNY: 6/23/09
5'2"
Highest/Surgery date/current/goal
279/257/217/140 (tentative)

suebry05

Joy,

My fingers are crossed for you... and bravo on staying in focus and doing what YOU needed to do to rectify this situation. Im sure you will encounter many people on here whom have had the same situations arise- I am one of them- it took me over a year and then I just got a different insurance company for myself - and thats how I got approved- but midway through my journey my first insurance company DID change there policy per my husbands company putting an exclusion- so I know just how you feel girlie....

keep your head up and think positively it will happen- hopefully sooner rather than later for ya!

Susan

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Surgery 12/09/08
TT Gym rat club member #141

JustJoy

Thanks all for the prayers and luck everyone. We'll know one way or the other sometime near the end of next month I imagine. I've done everything in my power to get my ducks in a row.

I may yet write a letter to my insurance company about the discrepancy between how the policy is written and their new interpretation. It may not do any good but at least I'll have had my say. lol

In the meantime I'm going to keep to the diet and exercise my buns off.

__________________
Joy

Insurance approval received at the beginning of August.
Diagnosed Grave's Disease hyperthyroidism at beginning of August.
GD hyperthyroidism within normal ranges at end of September.
Surgery date 11/3/09

soon2bthin

I say go for it. What is the worst thing it will do? Make you feel better and they don't give two toots about it? It may actually do some good. I had to do this with my insurance (though I didn't have an approval nightmare like some, just standard procedure for them). I definitely think when you can put your personal feelings down on paper it makes more human and not just an indentification number to them. Good luck. Keep on keeping on you will get there my friend.

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Cassie




252/150/137

RNY July 30, 2007

Shetaz0028

Joy,

I am so sorry you had to go through this but, trust me I do understand both sides. I am still jumping through the new hoops they keep putting in front of me and have been denied twice. I just check the web site, print out the criteria, and make sure I have everything.

My insurance is quick to deny because they kind of use that as a tool to see who is serious about the procedure. Also, with all the high profile people that have had WLS and did not do the work they are giving it a really bad name.

Just keep pluggin away at it my dear and don't let them determine what kind of a person you are. Don't give them the power to make you feel bad about yourself. I know that you are a wonderfully supportive, caring, and beautiful lady.

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Mad luv and respect,
Charlie

LAP/RNY 8/20/09



"Start by doing what's necessary; then do what's possible, and suddenly you are doing the impossible."
– St. Francis of Assisi

supersexysprite

"No" or "Not now" or "not yet" only means I have to fight harder to get to "Yes", but, I keep fighting until I get it. That's how it works if the moral and medical communities are in your favoure.

Never quit fighting Joy.

adagirl

If it doesn't have to be a supervised diet, did you ever do weight watchers, jenny craig, etc. before or even belonged to a gym that long (even if you didn't go). If you can prove you were a member, maybe that is enough? I would just check to see what documentation they need for the unsupervised diet. You might be able to dig something up and not have to wait another 3 months. Personally, I had 2.5 years of weight watchers books to show I dieted before, but unfortunately Aetna (my insurance) still requires a supervised diet so I'm still doing six months more. Its stupid, but worth it in the end I figure.