FG, Ins, and the MGB

[Guest guest]

Dear FG (after all this time I still dont know your real name..LOL)

No, you know it's kind of strange that I DIDN'T get their

names. Everyone was always so friendly and happy I didn't see any

reason to do that. I usually get people's names when they start

getting mean and nasty with me, but that wasn't the case. I am so

sorry about your insurance giving you a chance to begin with. I know

what you say about the surgery not really being a problem but the

'what-after' that could be kind of spooky. was kind of in the

same pickle as you, I believe, with the same fears. I just got

finished talking to the insurance co. and they still have not

received my PCP's letter saying this surgery was medically

necessary. After talking with Karla this morning in chat, I wonder

if there is any hope what so ever in getting them to pay for this. I

talked with my husband this afternoon too, and he said there is no

way that we can afford to do this out of pocket.

I guess we will have to keep our faith up and keep praying for

the right answer to come. (it's just hard to accept when it's not

the answer we want, but the one that we need). Take care and keep me

POSTED on your progress!

Love,

-- In MiniGastricBypass (AT) e, fnnygrl wrote:

> , oh my gosh, what a bummer! I never did get the chance to

get

> excited, as my insurance company turned me down flat from the get-

go. Were

> you able to take down the names of the people who said you were

approved? I

> have heard of some people even recording conversations with their

insurance

> companies for proof.......but sometimes if you have a name it

helps. Too

> bad they didn't actually give you a letter of approval.....then you

would

> have a legal case. I can only imagine how disappointed you are. I

am in

> appeal right now, I called yesterday to see how things are going,

and they

> never got back to me. So it's all a waiting game. But I am being

patient,

> I will have surgery when it's time....I don't want to go against

the grain.

> I am really interested in purchasing the insurance that will cover

you in

> case insurance won't cover the surgery itself but will cover you if

you have

> complications. I don't think it's the cost of the initial surgery

that

> bothers us.....it's the additional costs if we find ourselves in

the OR

> again to repair a leak (small chance, but still there). And I'm

sure Dr R

> would feel better knowing that we had a back-up plan. But

hopefully their

> medical review board will approve you for surgery and you will be

in the OR

> before too long. And they don't like faxes/email because they are

> instantaneous.....they want something that will take DAYS and they

can blame

> it on the mail system and say they got lost. If I were you, I

would get the

> name of the person it is supposed to be sent to, and I would mail

it by

> return receipt registered mail, so that person actually had to sign

the

> paper that they'd received it and I would have a copy for my own

records.

>

> Good luck, if we both get turned down, let's have a pity party

together. :-)

> But God willing, we will both be butterflies one day. :-)

>

> fg

>

> At 12:50 PM 05/11/2000 -0000, you wrote:

> >Dear Gang,

> >

> > After all the posts about insurance denials or insurance

> >companies just not paying at all, I have finally come up against

the

> >same hurdle to jump. Even though I sent my patient information

the

> >first time (its been almost two months ago now) it never went

through

> >to Dr. R's computer. I sent it again about 2 weeks ago and

yesterday

> >Barbara got the information so she could call my insurance

company.

> >(Thank you Barbara!) They told her that my approval for the MGB

was