Re: Re: No longer Accepting Insurance

[Guest guest]

Dear Ken,

Thanks for your feedback. Since I may soon be in the same position, I just

wanted a rational second-opinion. (I no longer hold myself out to be quite

objective as I want this so badly.) I'll be thinking of you over the next

three weeks. Keep me posted.

Tarri

Re: No longer Accepting Insurance

>

> Tarri;

>

> I really don't think I will lose leverage, I actually think I will

> gain leverage. This may be a misplaced notion, but I'll let you know

> the outcome. I am taking a second mortgage on my house to pay for

> this. My family doctor feels this is medically necessary and it has

> been presented as such to the insurance company. I can now make the

> case that it, in fact, was so medically necessary and that I believed

> that it was so strongly that I paid out of pocket to make sure

> something that was a medically neessary action took place. I think it

> adds conviction to the story, you know? If you were bleeding on the

> steps of a hospital that was not " in plan " would you be healed and

> then work it out or would you bleed to death waiting for the

> insurance company to finish pontificating about which hospital to

> send you to?

>

> Our HMO is really screwey and I don't know how this is going to end

> up. I was denied, but then a month later, they sent out a new

> benefits package with bariatric surgery being accepted with a 50%

> copay. Add to that, I'm going out of plan to get this done. They may

> not pay, and I've accepted that. I'm going to be driving the same old

> car for another 4 years, but I'm going to be thin doing it! At least

> if it breaks down, I won't mind walking as much! LOL. Seriously

> though, this is the most important thing to me personally, at this

> point in my life and I want it done. It will hurt to have to pay for

> it but the weight hurts more.

>

> Impatiently waiting - 3 weeks to surgery

>

> Ken Grakauskas

>

>

> > Dear Ken,

> > In your opinion, do you think you lose leverage with the insurance

> company

> > if you go ahead and pay for the surgery out of your pocket and then

> attempt

> > to recoup the costs after the surgery has already been done. I've

> been held

> > hostage waiting for insurance approval and the idea of proceeding

> with or

> > without insurance approval is appealing. Good luck in three weeks!

> > Tarri in Missouri

>

>

>

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