Guest guest Posted September 7, 2000 Report Share Posted September 7, 2000 Tammy, Just thought I'd let you know...yesterday was the second worst day of my life. First I got word that my insurance DENIED the procedure because I " don't have significant comorbities that exist with my obestiy. " (I just got that over the phone from the out-of-network specialist so until I see what they said in writing I can't fire back an intelligent appeal letter.) When I was over crying and cussing - not in that order mind you- I received news from Barbara in Dr. R's office that he had received my packet and approved me for the procedure. Then I just started bawling all over again. Somehow I have to make this happen. Tarri Waiting impatiently!! > Hello there, Thanks to every one who sent emails to me as post-ops > to put in my packet. My insurance is soooooo slow, I guess a nurse > is reviewing my pre-authorization claim. Tomorrow I'm faxing them my > medical records and information on the cost of the MGBS (ins. co. > suggested I add this...HINT HINT for anyone else just sending in > their ins. paper from Dr. Rutledge). Congratulations to Aprilsands > on being a new post-op. your site is wonderful. > Where are these wonderful new pictures of the mgbs??? I can't find > them. > Have a great day everyone! > Tammy in Wisconsin > BMI 50 > 314 on 8/1/00 > 300.5 today > > > 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 7, 2000 Report Share Posted September 7, 2000 In a message dated 9/7/2000 10:03:10 AM Eastern Daylight Time, rsrchcoord@... writes: << First I got word that my insurance DENIED the procedure because I " don't have significant comorbities that exist with my obestiy. " >> Tarri, do you mind me asking what comorbidities you DO have, that were listed in the info the insurance company got? I've already got a *few*, but with my long family history diabetes and high blood pressure, it's only a matter of time.... :oT Robin Wife to Doug Mommy to Tyler, 4 yrs., and Brennan, 1 yr. Singer, wife, mom, secretary.. and not in that particular order. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 8, 2000 Report Share Posted September 8, 2000 Robin, Depression and a moderate social anxiety (only cause I hate myself for being so fat.) Guess being embarrassed to go out in public isn't good enough. My family history is laced with diabetes, hypertension, and obesity. I have had back trouble and right knee trouble but I guess it's not bad enough to count. When I'm not so mad (I'm still way too mad) I want to ask Premier for their measurable, objective criteria of just what the comorbidity criteria are. How bad do I have to be? I'm guessing it's an arbitrary decision made by some skinny person. The ironic thing is while I was on the phone with the insurance company to find out my approval or disapproval, the prerecorded message says " Premier is dedicated to preventative interventions. " What a load of crap. Tarri in Missouri Re: Waiting impatiently!! > In a message dated 9/7/2000 10:03:10 AM Eastern Daylight Time, > rsrchcoord@... writes: > > << First I got word that my insurance DENIED the procedure because I > " don't have significant comorbities that exist with my obestiy. " >> > > Tarri, do you mind me asking what comorbidities you DO have, that were listed > in the info the insurance company got? I've already got a *few*, but with my > long family history diabetes and high blood pressure, it's only a matter of > time.... :oT > > Robin > Wife to Doug > Mommy to Tyler, 4 yrs., and Brennan, 1 yr. > Singer, wife, mom, secretary.. and not in that particular order. > > 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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