Guest guest Posted September 9, 2000 Report Share Posted September 9, 2000 In a message dated 9/9/2000 7:12:28 PM Eastern Daylight Time, kristi989@... writes: << Good Luck to you and thank you for your contributions here, I know you will be post-op before you know it. God Bless you!!!! ===== Kristi in AL BMI49 current 288 surgery date 9/21 >> Awwwwh Kristi, Your post was so kind it brought tears to my eyes. No sometimes life isn't fair, but I learned a long time ago to roll with the punches. What's that saying " If life hands you lemons make lemonade " LOL I don't know that I'm that nice about it, first I had some tears, but not as bad as the first denial, this one I was kinda expecting, then I thought some really nasty things four letter words and all LOL LOL. Then I decided that I will not let them get me down, I'll just save and borrow some and I'll get it done (if Dr, R will still let me) I sent my patient info in on May 2nd and I don't know how long he keeps us in the data base before he kicks us out if he hasn't heard anything. Well, I;m sorry I'm rambling my nerves are a little shook. LOL LOL Thanks for your kind words. Everytime you post I think of my baby sister, her name is Kristi. Cathy Morrow in Lenoir, NC BMI 42 A journey of a thousand miles begins with a single step Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 9, 2000 Report Share Posted September 9, 2000 It doesn't matter that your insurance is self funded through your husbands employer. All ins companys are regulated by the same laws and rules. It is discrimination for them to refuse you. You appeal anyway. However many appeals it takes. Take whatever steps necessary. We cannot let ins companies become rulers in this area. I am sueing my ins company that is self funded through my employer and so far things are looking really good. in Missouri Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 9, 2000 Report Share Posted September 9, 2000 In a message dated 9/9/2000 7:22:31 PM Eastern Daylight Time, lparker@... writes: << Cathy I am so sorry you were denied. Don't give up. Appeal!!!!!! >> Thanks Lynda, That was my second denial, but I'll keep plugging along and self pay, I'll just have to wait longer to get it done. I just wanted to say how proud you must be of your daughter. You can tell she really loves and admires her Mama It brought tears to my eyes the way she was talking about you and I can imagine how you felt. Tell her I admire her very much for being so open. I have a 28 year old daughter too! Cathy Morrow in Lenoir, NC BMI 42 A journey of a thousand miles begins with a single step Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 9, 2000 Report Share Posted September 9, 2000 In a message dated 9/9/2000 7:29:48 PM Eastern Daylight Time, srozycki@... writes: << Keep me posted on your next meeting, I would like to meet all of you. , Denver >> Thanks , That is my next plan of attack. I won't give up until I've exhausted it all then I will self pay if I have to. I will keep you updated on the next meeting. I can't wait, I don't get out my house to often, you know that old self image thing so this was a real treat and thrill for me. I'm sorry you weren't able to make it, I would love to meet you!! Cathy Morrow in Lenoir, NC BMI 42 A journey of a thousand miles begins with a single step Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 9, 2000 Report Share Posted September 9, 2000 In a message dated 9/9/2000 7:51:09 PM Eastern Daylight Time, dmalony@... writes: << Laurie >> Thank you so much Laurie for your kind thoughts and prayers. All of you out there that are fighting Ins. or getting ready for your surgery, please know that you all are in my thoughts and in my prayers always!!!! Cathy Morrow in Lenoir, NC BMI 42 A journey of a thousand miles begins with a single step Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 9, 2000 Report Share Posted September 9, 2000 Cathy, My heart was in my throat reading your post, you always post such good uplifting stuff. No it isn't fair at all! On the bright side, I saw where someone posted thet their total bill was only 10,000 (am I correct) so that is alot better already. And maybe you could work something out with Dr. R to be his first in the morning and you could go home the same day, maybe that would be even cheaper! I don't know if you own a home or not, but an equity loan would be a good option if you could do it, tax deductible and all. Good Luck to you and thank you for your contributions here, I know you will be post-op before you know it. God Bless you!!!! ===== Kristi in AL BMI49 current 288 surgery date 9/21 __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 9, 2000 Report Share Posted September 9, 2000 Cathy I am so sorry you were denied. Don't give up. Appeal!!!!!! As for the meeting in Hickory today, I loved meeting all the people and hearing their stories. I am already looking forward to the next meeting. It was a wonderful atmosphere there. People would have thought we all had known each other for years the way we were all chatting. A great big thank you to everyone in attendance and especially to Blair for getting making this happen for us. Lynda mgb 12-16-99 336/240175 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 9, 2000 Report Share Posted September 9, 2000 Cathy, your day may not be ruined. Since your husbands employer is self funded they can override the decision of United HealthCare. That is how I am going to have my surgery in January, of the 4 plans I can choose from I am choosing the my companys self funded plan. Cathy in Charlotte who is scheduled was also denied originally, but because her husbands plan was self funded his company agreed to let her go with the insurance. Talk to your husband benefit department. All is not lost. Hopefully he has a decent employer. Keep me posted on your next meeting, I would like to meet all of you. , Denver > Hi Everyone, > Today I went to the Western NC Support meeting in Hickory. I had such a > great time and did so enjoy listening to the stories and having lunch with > everyone!!!! I came home and was so hyper telling my husband about how great > it was (poor man couldn't get a word in edge wise) and how I couldn't wait > until the next one. I noticed he had put the mail on the table so I started > going thru it and saw that there was a letter from United HealthCare to me. I > had a feeling what might be in it and I didn't want to open it in front of > Jim (hubby) so I told him I was going to go change I'd be right back because > I didn't want him to see me get upset if it said what I thought it might, > sooooo I guess by now you know what it said: DENIED and also preceded to tell > me that there decision was final and that if I wanted to pursue anything > further that I would have to do it thru the NC Dept. of Insurance, that won't > work for me, I pulled them up and because our insurance is self funded thru > my husbands employer the state insurance commission has no legal recourse if > I understood it right. Needless to say those & *^ & %$$ & & ruined what had been a > wonderful day for me!!!!! I will self pay it will just take me a little > longer to get it done!!! > > On a brighter note, to all I met today in Hickory it was wonderful. It was so > nice to put faces with names. I'm not very comfortable in large groups of > people. I guess it comes from always being ashamed to go anywhere to > interact, but all of you made me feel welcome. Betty you are a very special > woman and I want to thank you for how sweet you were to me and funny. When > you get that job at Biltmore let me know, I love going there and I love > horses and we'll ride!!!!! Also to Blair, Thanks for putting everything > together it was great!!!!! > > Cathy Morrow in Lenoir, NC > BMI 42 > A journey of a thousand miles begins with a single step Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 9, 2000 Report Share Posted September 9, 2000 > > Cathy Morrow in Lenoir, NC > BMI 42 > A journey of a thousand miles begins with a single step Cathy, I am so, so sorry about your insurance. You know we are all waiting with you for the day you are scheduled. If there is no other way for insurance to help than we will pray for big blessing on your financies!! Hang in there. So glad you enjoyed your new friendships today! Laurie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 9, 2000 Report Share Posted September 9, 2000 Cathy, Call and talk to the company benefits person. Because they are self- insured they can override the ins. co. My husband's company did that and will -pay " out of network " . Call and explain the surgery and the health problems you are having because of the weight. I also mentioned that they pay for treatment of buliema (spelling) so why don't they pay for obesity help. Good luck to you. - - In MiniGastricBypass (AT) egroups (DOT) com, CMo6331945@a... wrote: > Hi Everyone, > Today I went to the Western NC Support meeting in Hickory. I had such a > great time and did so enjoy listening to the stories and having lunch with > everyone!!!! I came home and was so hyper telling my husband about how great > it was (poor man couldn't get a word in edge wise) and how I couldn't wait > until the next one. I noticed he had put the mail on the table so I started > going thru it and saw that there was a letter from United HealthCare to me. I > had a feeling what might be in it and I didn't want to open it in front of > Jim (hubby) so I told him I was going to go change I'd be right back because > I didn't want him to see me get upset if it said what I thought it might, > sooooo I guess by now you know what it said: DENIED and also preceded to tell > me that there decision was final and that if I wanted to pursue anything > further that I would have to do it thru the NC Dept. of Insurance, that won't > work for me, I pulled them up and because our insurance is self funded thru > my husbands employer the state insurance commission has no legal recourse if > I understood it right. Needless to say those & *^ & %$$ & & ruined what had been a > wonderful day for me!!!!! I will self pay it will just take me a little > longer to get it done!!! > > On a brighter note, to all I met today in Hickory it was wonderful. It was so > nice to put faces with names. I'm not very comfortable in large groups of > people. I guess it comes from always being ashamed to go anywhere to > interact, but all of you made me feel welcome. Betty you are a very special > woman and I want to thank you for how sweet you were to me and funny. When > you get that job at Biltmore let me know, I love going there and I love > horses and we'll ride!!!!! Also to Blair, Thanks for putting everything > together it was great!!!!! > > Cathy Morrow in Lenoir, NC > BMI 42 > A journey of a thousand miles begins with a single step Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 10, 2000 Report Share Posted September 10, 2000 Cathy, Stay hyper! Keep your chin up - one way or another, you'll get the surgery! Do you know if any others have been approved by United Healthcare? I always enjoy your posts, as they are always so warm and friendly. Sincerely, Bernardine , TX > Hi Everyone, > Today I went to the Western NC Support meeting in Hickory. I had such a > great time and did so enjoy listening to the stories and having lunch with > everyone!!!! I came home and was so hyper telling my husband about how great > it was (poor man couldn't get a word in edge wise) and how I couldn't wait > until the next one. I noticed he had put the mail on the table so I started > going thru it and saw that there was a letter from United HealthCare to me. I > had a feeling what might be in it and I didn't want to open it in front of > Jim (hubby) so I told him I was going to go change I'd be right back because > I didn't want him to see me get upset if it said what I thought it might, > sooooo I guess by now you know what it said: DENIED and also preceded to tell > me that there decision was final and that if I wanted to pursue anything > further that I would have to do it thru the NC Dept. of Insurance, that won't > work for me, I pulled them up and because our insurance is self funded thru > my husbands employer the state insurance commission has no legal recourse if > I understood it right. Needless to say those & *^ & %$$ & & ruined what had been a > wonderful day for me!!!!! I will self pay it will just take me a little > longer to get it done!!! > > On a brighter note, to all I met today in Hickory it was wonderful. It was so > nice to put faces with names. I'm not very comfortable in large groups of > people. I guess it comes from always being ashamed to go anywhere to > interact, but all of you made me feel welcome. Betty you are a very special > woman and I want to thank you for how sweet you were to me and funny. When > you get that job at Biltmore let me know, I love going there and I love > horses and we'll ride!!!!! Also to Blair, Thanks for putting everything > together it was great!!!!! > > Cathy Morrow in Lenoir, NC > BMI 42 > A journey of a thousand miles begins with a single step Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 10, 2000 Report Share Posted September 10, 2000 Bernadine, I think you and I are the only two up this morning. I do so enjoy reading what you have to say. but it is time to go to church so I have to sign off now. See ya this afternoon on the " tube " . betty in Western NC Re: Great Day Ruined!!!! >Cathy, >Stay hyper! Keep your chin up - one way or another, you'll get the >surgery! Do you know if any others have been approved by United >Healthcare? > >I always enjoy your posts, as they are always so warm and friendly. > >Sincerely, >Bernardine >, TX > > >> Hi Everyone, >> Today I went to the Western NC Support meeting in Hickory. I >had such a >> great time and did so enjoy listening to the stories and having >lunch with >> everyone!!!! I came home and was so hyper telling my husband about >how great >> it was (poor man couldn't get a word in edge wise) and how I >couldn't wait >> until the next one. I noticed he had put the mail on the table so I >started >> going thru it and saw that there was a letter from United >HealthCare to me. I >> had a feeling what might be in it and I didn't want to open it in >front of >> Jim (hubby) so I told him I was going to go change I'd be right >back because >> I didn't want him to see me get upset if it said what I thought it >might, >> sooooo I guess by now you know what it said: DENIED and also >preceded to tell >> me that there decision was final and that if I wanted to pursue >anything >> further that I would have to do it thru the NC Dept. of Insurance, >that won't >> work for me, I pulled them up and because our insurance is self >funded thru >> my husbands employer the state insurance commission has no legal >recourse if >> I understood it right. Needless to say those & *^ & %$$ & & ruined what >had been a >> wonderful day for me!!!!! I will self pay it will just take me a >little >> longer to get it done!!! >> >> On a brighter note, to all I met today in Hickory it was wonderful. >It was so >> nice to put faces with names. I'm not very comfortable in large >groups of >> people. I guess it comes from always being ashamed to go anywhere >to >> interact, but all of you made me feel welcome. Betty you are a very >special >> woman and I want to thank you for how sweet you were to me and >funny. When >> you get that job at Biltmore let me know, I love going there and I >love >> horses and we'll ride!!!!! Also to Blair, Thanks for putting >everything >> together it was great!!!!! >> >> Cathy Morrow in Lenoir, NC >> BMI 42 >> A journey of a thousand miles begins with a single step > > >This message is from the Mini-Gastric Bypass Mailing List at Onelist.com >Please visit our web site at http://clos.net >Get the Patient Manual at http://clos.net/get_patient_manual.htm > >and for more on the MGB,Don't miss : >http://www.fourlane.com/mgb > >To Unsubscribe Send and Email to: MiniGastricBypass-unsubscribe (AT) egroups (DOT) com > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 10, 2000 Report Share Posted September 10, 2000 Hi Betty, Got a break in the day, so where am I - on the " tube " LOL. Learning something new every day. Bern > >> Hi Everyone, > >> Today I went to the Western NC Support meeting in Hickory. I > >had such a > >> great time and did so enjoy listening to the stories and having > >lunch with > >> everyone!!!! I came home and was so hyper telling my husband about > >how great > >> it was (poor man couldn't get a word in edge wise) and how I > >couldn't wait > >> until the next one. I noticed he had put the mail on the table so I > >started > >> going thru it and saw that there was a letter from United > >HealthCare to me. I > >> had a feeling what might be in it and I didn't want to open it in > >front of > >> Jim (hubby) so I told him I was going to go change I'd be right > >back because > >> I didn't want him to see me get upset if it said what I thought it > >might, > >> sooooo I guess by now you know what it said: DENIED and also > >preceded to tell > >> me that there decision was final and that if I wanted to pursue > >anything > >> further that I would have to do it thru the NC Dept. of Insurance, > >that won't > >> work for me, I pulled them up and because our insurance is self > >funded thru > >> my husbands employer the state insurance commission has no legal > >recourse if > >> I understood it right. Needless to say those & *^ & %$$ & & ruined what > >had been a > >> wonderful day for me!!!!! I will self pay it will just take me a > >little > >> longer to get it done!!! > >> > >> On a brighter note, to all I met today in Hickory it was wonderful. > >It was so > >> nice to put faces with names. I'm not very comfortable in large > >groups of > >> people. I guess it comes from always being ashamed to go anywhere > >to > >> interact, but all of you made me feel welcome. Betty you are a very > >special > >> woman and I want to thank you for how sweet you were to me and > >funny. When > >> you get that job at Biltmore let me know, I love going there and I > >love > >> horses and we'll ride!!!!! Also to Blair, Thanks for putting > >everything > >> together it was great!!!!! > >> > >> Cathy Morrow in Lenoir, NC > >> BMI 42 > >> A journey of a thousand miles begins with a single step > > > > > >This message is from the Mini-Gastric Bypass Mailing List at Onelist.com > >Please visit our web site at http://clos.net > >Get the Patient Manual at http://clos.net/get_patient_manual.htm > > > >and for more on the MGB,Don't miss : > >http://www.fourlane.com/mgb > > > >To Unsubscribe Send and Email to: > MiniGastricBypass-unsubscribe (AT) egroups (DOT) com > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 10, 2000 Report Share Posted September 10, 2000 In a message dated 9/10/2000 8:35:44 PM Eastern Daylight Time, tartboys@... writes: << I hope you feel better, you seem to be such a supportive person. I always enjoy reading your up-lifting posts to people on the list!! Take care and I hope everything works out for you!! Dana Tart >> Thanks Dana!!! Bless your heart for having to go thru that disappointment. I'm telling you I don't know how my Ins. times it. the first denial I got was on a Saturday (ruined my weekend big time) then the 2nd one shows up on a Saturday too, after I'd just had such a good day going to the support meeting. Strange how that happened, but it could have been worse, my mail could have been early and I'd have gotten the denial before the meeting and probably wouldn't have went so Thank the Lord for small favors. Keep trying, I am and one way or another will have this done. You'll be in my thoughts and Thank you for writing me, you're right no one knows better how we feel than each and everyone on this site. You're all the best and get me thru some of the roughest times in this journey, so from the bottom of my heart Thank you!!!!! Cathy Morrow in Lenoir, NC BMI 42 A journey of a thousand miles begins with a single step Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 10, 2000 Report Share Posted September 10, 2000 Great Day Ruined!!!! > > sooooo I guess by now you know what it said: DENIED > > Cathy Morrow in Lenoir, NC > BMI 42 > A journey of a thousand miles begins with a single step Cathy, Hi it's Dana in Newton Grove. I read your post about getting denied and I know exactly how you feel. BCBS denied me about two weeks ago. When I got the phone call I had answered the phone in my bedroom and while I was talking to the person from BCBS my earring fell off. So I was on the floor on my hands and knees looking for an earring that cost all of $5. So there I was on the phone searching for the earring and the guy says " sorry the procedure is denied. " Well to put it mildly, I went to pieces. I thanked the man (rather calmly I might add) and hung up - keep in mind I'm was still looking for that darn earring! I sat right there on the floor beside my bed and had a really good cry. I went through every emotion in the book. I thought okay I'm destined to be fat, then I went into okay I can always appeal. I called Kristi Lent on her car phone - She gave me a pep talk and I felt much better!! Not to mention I had to call a wrecker service to get me up off the floor and I never did find that earring!!! So what I guess I wanted to say was- I understand. No matter how much our regular friends and families support us the people on this list understand our feelings better than anyone in the world. Who else could understand how this is the last thing we think of at night and the first thing we think about when we wake up in the morning? Or who else could understand how we are consumed by the computer and how we spend every spare second reading the posts? My family wants me to go ahead and have the MGB so they get the computer back!! hehe!! I hope you feel better, you seem to be such a supportive person. I always enjoy reading your up-lifting posts to people on the list!! Take care and I hope everything works out for you!! Dana Tart > > This message is from the Mini-Gastric Bypass Mailing List at Onelist.com > Please visit our web site at http://clos.net > Get the Patient Manual at http://clos.net/get_patient_manual.htm > > and for more on the MGB,Don't miss : > http://www.fourlane.com/mgb > > To Unsubscribe Send and Email to: MiniGastricBypass-unsubscribe (AT) egroups (DOT) com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 11, 2000 Report Share Posted September 11, 2000 Cathy: Sorry you were denied, but as I said before, you've got such a positive attitude I think this is just a bump in the road for you. That was such a really nice post when you told us about receiving the bad news: I felt as if I was right there with you. And then, when I read Dana's note to you, I felt as if I had been right there with her, too. And, you know, she's right: now matter how supportive our friends and relatives are it takes one of us to really understand one of us. That is the joy of this list! I guess the people we should really feel sad for is Dana's family: they think that after Dana's MGB operation they will get the computer back. Little do they know! Cheer up. Keep up the good fight, and keep us posted. All the best, Judith in Seattle Pre-op BMI 43 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 11, 2000 Report Share Posted September 11, 2000 In a message dated 9/11/2000 3:11:53 AM Eastern Daylight Time, judith98101@... writes: << I guess the people we should really feel sad for is Dana's family: they think that after Dana's MGB operation they will get the computer back. Little do they know! Cheer up. Keep up the good fight, and keep us posted. All the best, Judith in Seattle Pre-op BMI 43 >> LOL LOL LOl Judith. I've already told my husband that when I have the surgery not to even think I want be on the computer as much. I love this site and plan on staying with it after surgery as I do now, of course I work at home so I can sneak and pop on when I want like now when I should be working. LOL LOL Cathy Morrow in Lenoir, NC BMI 42 A journey of a thousand miles begins with a single step Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 11, 2000 Report Share Posted September 11, 2000 In a message dated 9/11/2000 2:23:49 PM Eastern Daylight Time, tartboys@... writes: << I hope you're felling better Cathy- hope the rest of your weekend was better!! I still haven't heard anything on my end- but hey, they say no news is good news, right? I won't give up if you won't!! Take care!! Dana Tart >> I am better. I knew it was probably coming, but even then it still kind of sucks the wind out of your sails. I do so hope you get good news, then I would feel even better. It just thrills me to death every time someone gets approved, it means more and more insurance co. are taking this seriously and I think everyone here deserves the chance to have this done. I'm not going to give up, I'll self pay if I have to, I'm just struggling now to give up my nasty cigarette smoking habit. It's the hardest thing I think I've ever tried to do. For all of you who don't smoke, please never pick one up. I started a lot of years back before all the dangers were well known and of course everyone I knew smoked. I hate it and get so frustrated that I let something control me like this, Lord is it hard to stop, but everyday I keep trying and I know that somehow I will beat it. Thanks Dana, I'm keeping my fingers and toes crossed for you!!!! Cathy Morrow in Lenoir, NC BMI 42 A journey of a thousand miles begins with a single step Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 11, 2000 Report Share Posted September 11, 2000 You guys are right about the computer- my family is going to have to learn to live with it!! What you guys don't know is before I started this whole process I hadn't touched the computer 5 times since we got it!! I think that's why they don't understand!! I hope you're felling better Cathy- hope the rest of your weekend was better!! I still haven't heard anything on my end- but hey, they say no news is good news, right? I won't give up if you won't!! Take care!! Dana Tart Re: Great Day Ruined!!!! > In a message dated 9/11/2000 3:11:53 AM Eastern Daylight Time, > judith98101@... writes: > > << I guess the people we should really feel sad for is Dana's family: they > think that after Dana's MGB operation they will get the computer back. > Little do they know! > > Cheer up. Keep up the good fight, and keep us posted. > > All the best, > Judith in Seattle > Pre-op > BMI 43 >> > > LOL LOL LOl Judith. I've already told my husband that when I have the surgery > not to even think I want be on the computer as much. I love this site and > plan on staying with it after surgery as I do now, of course I work at home > so I can sneak and pop on when I want like now when I should be working. LOL > LOL > > Cathy Morrow in Lenoir, NC > BMI 42 > A journey of a thousand miles begins with a single step > > This message is from the Mini-Gastric Bypass Mailing List at Onelist.com > Please visit our web site at http://clos.net > Get the Patient Manual at http://clos.net/get_patient_manual.htm > > and for more on the MGB,Don't miss : > http://www.fourlane.com/mgb > > To Unsubscribe Send and Email to: MiniGastricBypass-unsubscribe (AT) egroups (DOT) com > > > Quote Link to comment Share on other sites More sharing options...
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