insurance denial of DS

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In a message dated 4/10/01 10:58:27 AM Central Daylight Time,

MistyEve@... writes:

<< I am just glad to be out of most of

the pain and shock my system had to take, to make this dream come

true! I had a bit of a dicey time with ICU for a couple of days and

on the ventilator for all of it ... but then ... small price to pay

now that I am alright and on my way to a slim and healthy life! I

have not been weighed yet - I see Dr. Kim today late, but I know I

have dropped at least 20 pounds! (I think!) Every >>

It's so good to hear you're doing well, Judi. Let us know how it goes

withe Dr. Kim.

My insurance has denied the DS procedure and Glen has said Dr. Booth will

appeal, but she didn't sound too optimistic about the chances of them

changing their mind. I 'm really unhappy about this. I guess I could get

the RNY-distal, but I have heard so many things about people regaining weight

after a couple of years and I darned sure don't want to go throught his

again, not to mention having to learn to live with the pouch and dumping! I

am so disgusted that they would pick and choose for me, what procedure I

should have. We will have to try to educate BCBS of Ala, but they are not

known for having alot of common sense. Each person I've talked to there

seemed to be unable to think for themselves. All they will tell you is

what's in their system, with little thought to whether or not it is accurate.

Last week one Rep told me my letter of denial had been mailed out on March

12, after telling me they had reached a decision of March 28! I said, " so

you made a decison on 3/28, yet you were able to mail that letter on 3/12? "

She said, " well, that's what's in my system. " I thought -- well, what's in

your head?

CindyW in MS