Re: Insurance faxed yesterday

[Guest guest]

Hi Alice,

Try not to be discouraged. I have CNN insurance and even with a BMI of 51, I

was denied the first time for two reasons. First, my high blood pressure was

responding to treatment, second, I did not have proof of 18 months of a

medically supervised weight loss attempt. I appealed, writing my own letter,

refuting their decision with the fact that, yes, blood pressure was responding

to

treatment but only because my drs continually added new medications to keep it

stable (currently taking 3 different meds). Secondly, regarding the weight

loss attempts, even though Weight Watchers isnt MEDICALLY supervised, I copied

every WW weight recording booklet I had ever used (they spanned a couple of

years), sent them in with the appeal, and within 4 days, the insurance company

reversed their decision.

I am having laproscopic RnY surgery next Thursday (the 19th) and I can hardly

wait, even though the past week has been my first experience of a few jitters

since I started this journey 13 months ago. At a Pre-Admission workshop on

Tuesday, the psychologist assured me that is perfectly normal when one is

facing major surgery.

That works for me!

I'll keep you all posted when I make it over to " losing side " .

Becky from AZ

In a message dated 2/12/2004 10:05:03 AM US Mountain Standard Time,

hardesty@... writes:

> The surgeons office called and had all my stuff together and were

> faxing it to the insurance today. Now I guess I wait for the denial

> as I do not have the 26 weeks of supervised dieting then I get the

> attorney to appeal and keep my fingers crossed. At least it`s moving

> forward now.

>

> Alice

>

[Guest guest]

Hi Alice,

Try not to be discouraged. I have CNN insurance and even with a BMI of 51, I

was denied the first time for two reasons. First, my high blood pressure was

responding to treatment, second, I did not have proof of 18 months of a

medically supervised weight loss attempt. I appealed, writing my own letter,

refuting their decision with the fact that, yes, blood pressure was responding

to

treatment but only because my drs continually added new medications to keep it

stable (currently taking 3 different meds). Secondly, regarding the weight

loss attempts, even though Weight Watchers isnt MEDICALLY supervised, I copied

every WW weight recording booklet I had ever used (they spanned a couple of

years), sent them in with the appeal, and within 4 days, the insurance company

reversed their decision.

I am having laproscopic RnY surgery next Thursday (the 19th) and I can hardly

wait, even though the past week has been my first experience of a few jitters

since I started this journey 13 months ago. At a Pre-Admission workshop on

Tuesday, the psychologist assured me that is perfectly normal when one is

facing major surgery.

That works for me!

I'll keep you all posted when I make it over to " losing side " .

Becky from AZ

In a message dated 2/12/2004 10:05:03 AM US Mountain Standard Time,

hardesty@... writes:

> The surgeons office called and had all my stuff together and were

> faxing it to the insurance today. Now I guess I wait for the denial

> as I do not have the 26 weeks of supervised dieting then I get the

> attorney to appeal and keep my fingers crossed. At least it`s moving

> forward now.

>

> Alice

>