Re: Questions comments

[Guest guest]

> Hello all!

>

> I just love this group! I'm really getting a kick out of the

support and honest answers being shared. I have been considering

this surgery for a few weeks now and I guess I'm worrying the most

over my insurance company covering this. Do you think it would help

to send a letter to them from my PCP when I send Dr. R's letter?

>

> I've got my husband's support on this. I went to visit my mom

last week and told her about this. She told me to go for it and she

sat down with me and shared alot of family medical history I didn't

even know about. Let's just say that the deck is really stacked

against me. I am 270 with a BMI of 46, however, I am not experiencing

any major health problems yet (although I am begining to feel the

warning signs) I'm worried that my insurance company will

say " You're just not sick enough " and that they would prefer me to be

on my death bed. I'd really like to see this as preventive medicine

for myself, rather than the cure later on for more serious problems

due to my weight, if that makes sense.

>

> Just wanted to share this and I hope to get some encourageing

comments and answers. Thanks for listening....

>

> Deb in NC

>

> Hi Deb. Welcome to the group. My name is Rhonda. I really love

this group too. My insurance company had to have a letter of

referral from my PCP before they would even consider the request from

Dr. R. I too do not have to many co-morbities; however, they are

coming. Most of them right now are more limitations physically and

emotionally from my weight but the medical are also starting to creep

in. I also have a family history that says I am at high risk if I do

not get this weight off and keep it off. Basically I feel that is

what the insurance company is saying to me also. " You're not sick

enough and you have not tried hard enough on your own yet " . I really

wonder if the people that work for insurance companies get this kind

of run around when they need medically necessary surgeries. If your

insurance gives you a hassle don't give up. That is what they are

hoping for. Best wishes to you.

Bonded by our experience, strength and hope

Rhonda

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[Guest guest]

Debora Lloyd wrote:

> Do you think it would help to send a letter to them from my PCP when I send

Dr. R's letter?

>

Debora,

Yes, a letter from another doctor is definitely a plus. Some insurance

companies

want to see 2 supporting opinions, or even require it. If they do deny you the

first

time, don't give up! Keep fighting. There have been many on this list who have

prevailed even when things didn't look good.

Tricia in IL