Ready to send in Appeal...I think

[Guest guest]

Ok..I've worked hard the past few days and think I'm about to pull it

all together, make a copy for myself and mail in my appeal.

I have a letter from my employer...It states they are in support and

hope the exclusion is ignored and I am qualified for medical

necessity. I have a letter from my therapist stating I am a good

candidate and that I will be able to move on and focus on the smaller

issues I have and probably not need as much therapy or anti

depressants since so much can be traced back to the weight issue. I

have a letter from my new PCP saying I am severely obese and called

it life threatening. Very powerful and almost hard for me to

read...but I need it. The surgeon stuff is in already and I think

from talking to them I don't have to resubmit, just reference it. I

have pictures of myself that I scanned from over the years where you

can see my weight changing. I am picking up my med file tomorrow from

my old dr (she called me..oh I sent that in..but i dont think she

did...the original letter was mailed to me.) to show my weight over

the last 5 years...since that is a condition I must meet. I have my

diet list about done showing the attempts I've made. I don't have

anything saved so its rather made up...but I tried to stick to

somewhat the reality. I've never had alot of success in

dieting...and when I did..it obviously wasn't long term or I'd not be

almost 400 lbs! So...what else? Oh I did include some stuff on the

surgery and I wrote a letter useing the one from obesityhelp but made

it much more personal and directly towards myself. Ended up about 5

pages. Am I forgetting anything? Would a letter from family member

help? What else? I think from what I've been told it can be deemed

medically necessary and I meet the criteria so I have a good chance

but I want them to understand I'm not playing a game...I am going to

do this.

Thanks for the help! I want to skip ahead a couple weeks and see

what happens!

AJ

[Guest guest]

GOOD LUCK!!!! I'm just beginning my fight....just found out the rules after

waiting since the first week of Feb. to get approved. Had my consult the

first week of Feb. with Dr. Booth. So, Honey, I know where your at!! GOOD

LUCK!! Just an idea, my mom kept journals (she passed away) and I am going

to even check those to see if she made references to my weight and the

" programs " I tried. If the information is there, I'm gonna make copies and

send with my paperwork!! Keep us informed!

Jerry, Pre-op, Dr. Booth, MS

>

>

_________________________________________________________________

Get your FREE download of MSN Explorer at http://explorer.msn.com