Guest guest Posted June 16, 2000 Report Share Posted June 16, 2000 Rhonda, you are so right about having to jump through hoops. It does not make any sense to me either. I too had to fight the insurance company and write letters out my whaho. And again you are right about them treating other disease that are life threatening. I wish you the best of luck in your appeal, hang in there girl you will make it. Wills MGB 2-9-00 -66 lb Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 16, 2000 Report Share Posted June 16, 2000 Rhonda, you are so right about having to jump through hoops. It does not make any sense to me either. I too had to fight the insurance company and write letters out my whaho. And again you are right about them treating other disease that are life threatening. I wish you the best of luck in your appeal, hang in there girl you will make it. Wills MGB 2-9-00 -66 lb Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 16, 2000 Report Share Posted June 16, 2000 Hi. Rhonda from Indiana here. I just heard from PCP that my insurance company denied my request. It doesn't surprise me, but I couldn't help but hope. I have to show proof of at least three separate attempts of weight loss that were doctor supervised for at least a 12 week period, one being in the last year. Of course, the last doctor supervised I did was 2 years ago. I finally chose the MGB because I have tried everything else and all the diets and pills and self-help groups and counseling did not help me maintain any kind of weight loss. Now they are telling me I still haven't done enough. I'm sick to death of doing all the things I have been trying to do for the past 25 years. My doctor did put me on Xenical in the last year, but I don't know if the insurance company will buy that as doctor supervised because I did not go back every week or month to be weighed. I finally went off of it because of the awful side effects I was having. I'm supposed to be getting a letter from my insurance company (Cigna) the first of next week explaining why I was denied. They also said I wasn't sick enough yet. The insurance lady from my PCP office said she would talk to my doctor on Monday to see if he could word things any differently to make Cigna happy. I want this surgery so bad. You know, it is humiliating enough that I have done this to myself without having to go the doctor and tell him all the personal things that my weight has effected. I hate all the hoops that the insurance companies make us jump through. My husband is a recovering alcoholic and when he needed treatment for his DISEASE the insurance didn't make him jump through all their hoops. It really burns me up that my problems with food are not considered a disease serious enough to warrant insurance coverage. Hope I haven't offended anyone, I need to vent before I go home. I don't want to take this anger home with me. It is not my families fault that the insurance company is a jerk!!! Thanks for letting me vent!! Rhonda Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 17, 2000 Report Share Posted June 17, 2000 > Hi. Rhonda from Indiana here. I just heard from PCP that my > insurance company denied my request. It doesn't surprise me, but I > couldn't help but hope. I have to show proof of at least three > separate attempts of weight loss that were doctor supervised for at > least a 12 week period, one being in the last year. Of course, the > last doctor supervised I did was 2 years ago. If you have seen your own PCP off and on over the last year and ever talked to your PCP about weight loss, the PCP may be willing to write you a letter saying that s/he has counseled you for weight loss over the last year, but your efforts through diet and exercise have failed. I finally chose the > MGB because I have tried everything else and all the diets and pills > and self-help groups and counseling did not help me maintain any kind > of weight loss. Now they are telling me I still haven't done > enough. I'm sick to death of doing all the things I have been trying > to do for the past 25 years. My doctor did put me on Xenical in the > last year, but I don't know if the insurance company will buy that as > doctor supervised because I did not go back every week or month to be > weighed. That definitely will count and your PCP will probably be happy to write you a letter saying that s/he has counseled you for weight loss, both through diet and exercise and with weight loss drugs, and that you failed to lose weight. I finally went off of it because of the awful side effects > I was having. I'm supposed to be getting a letter from my insurance > company (Cigna) the first of next week explaining why I was denied. > They also said I wasn't sick enough yet. The insurance lady from my > PCP office said she would talk to my doctor on Monday to see if he > could word things any differently to make Cigna happy. I want this > surgery so bad. You know, it is humiliating enough that I have done > this to myself without having to go the doctor and tell him all the > personal things that my weight has effected. I hate all the hoops > that the insurance companies make us jump through. My husband is a > recovering alcoholic and when he needed treatment for his DISEASE the > insurance didn't make him jump through all their hoops. It really > burns me up that my problems with food are not considered a disease > serious enough to warrant insurance coverage. Hope I haven't > offended anyone, I need to vent before I go home. I don't want to > take this anger home with me. It is not my families fault that the > insurance company is a jerk!!! Thanks for letting me vent!! Rhonda Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 17, 2000 Report Share Posted June 17, 2000 > Hi. Rhonda from Indiana here. I just heard from PCP that my > insurance company denied my request. It doesn't surprise me, but I > couldn't help but hope. I have to show proof of at least three > separate attempts of weight loss that were doctor supervised for at > least a 12 week period, one being in the last year. Of course, the > last doctor supervised I did was 2 years ago. If you have seen your own PCP off and on over the last year and ever talked to your PCP about weight loss, the PCP may be willing to write you a letter saying that s/he has counseled you for weight loss over the last year, but your efforts through diet and exercise have failed. I finally chose the > MGB because I have tried everything else and all the diets and pills > and self-help groups and counseling did not help me maintain any kind > of weight loss. Now they are telling me I still haven't done > enough. I'm sick to death of doing all the things I have been trying > to do for the past 25 years. My doctor did put me on Xenical in the > last year, but I don't know if the insurance company will buy that as > doctor supervised because I did not go back every week or month to be > weighed. That definitely will count and your PCP will probably be happy to write you a letter saying that s/he has counseled you for weight loss, both through diet and exercise and with weight loss drugs, and that you failed to lose weight. I finally went off of it because of the awful side effects > I was having. I'm supposed to be getting a letter from my insurance > company (Cigna) the first of next week explaining why I was denied. > They also said I wasn't sick enough yet. The insurance lady from my > PCP office said she would talk to my doctor on Monday to see if he > could word things any differently to make Cigna happy. I want this > surgery so bad. You know, it is humiliating enough that I have done > this to myself without having to go the doctor and tell him all the > personal things that my weight has effected. I hate all the hoops > that the insurance companies make us jump through. My husband is a > recovering alcoholic and when he needed treatment for his DISEASE the > insurance didn't make him jump through all their hoops. It really > burns me up that my problems with food are not considered a disease > serious enough to warrant insurance coverage. Hope I haven't > offended anyone, I need to vent before I go home. I don't want to > take this anger home with me. It is not my families fault that the > insurance company is a jerk!!! Thanks for letting me vent!! Rhonda Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 17, 2000 Report Share Posted June 17, 2000 > Hi. Rhonda from Indiana here. I just heard from PCP that my > insurance company denied my request. It doesn't surprise me, but I > couldn't help but hope. I have to show proof of at least three > separate attempts of weight loss that were doctor supervised for at > least a 12 week period, one being in the last year. Of course, the > last doctor supervised I did was 2 years ago. If you have seen your own PCP off and on over the last year and ever talked to your PCP about weight loss, the PCP may be willing to write you a letter saying that s/he has counseled you for weight loss over the last year, but your efforts through diet and exercise have failed. I finally chose the > MGB because I have tried everything else and all the diets and pills > and self-help groups and counseling did not help me maintain any kind > of weight loss. Now they are telling me I still haven't done > enough. I'm sick to death of doing all the things I have been trying > to do for the past 25 years. My doctor did put me on Xenical in the > last year, but I don't know if the insurance company will buy that as > doctor supervised because I did not go back every week or month to be > weighed. That definitely will count and your PCP will probably be happy to write you a letter saying that s/he has counseled you for weight loss, both through diet and exercise and with weight loss drugs, and that you failed to lose weight. I finally went off of it because of the awful side effects > I was having. I'm supposed to be getting a letter from my insurance > company (Cigna) the first of next week explaining why I was denied. > They also said I wasn't sick enough yet. The insurance lady from my > PCP office said she would talk to my doctor on Monday to see if he > could word things any differently to make Cigna happy. I want this > surgery so bad. You know, it is humiliating enough that I have done > this to myself without having to go the doctor and tell him all the > personal things that my weight has effected. I hate all the hoops > that the insurance companies make us jump through. My husband is a > recovering alcoholic and when he needed treatment for his DISEASE the > insurance didn't make him jump through all their hoops. It really > burns me up that my problems with food are not considered a disease > serious enough to warrant insurance coverage. Hope I haven't > offended anyone, I need to vent before I go home. I don't want to > take this anger home with me. It is not my families fault that the > insurance company is a jerk!!! Thanks for letting me vent!! Rhonda Quote Link to comment Share on other sites More sharing options...
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