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Jerry,

Yeeeeeee Haaaaaaaaawwwwwww and huge congratulations on

your " approval " ! That's step one girlfriend! Now, if you can talk

with Hull, he worked his insurance similarly to what you are

proposing, I believe. He got his insurance to cover the RNY and he

was out of pocket on the difference until and when he wins his

appeal!

Hugs,

Theresa

DS 11-19-01

Dr. Jossart

-16#s

>

> Hey Guys and Girls,

>

> I may have FINALLY gotten approval for surgery! The lady who read

the

> approval to me over the phone did not even know what she was

talking about.

> Even the doctor's office could not understand for sure which

surgery they

> had approved...RNY or DS. So, we have to wait until we get

the " official "

> letter to find out exactly what I've been approved for. But, they

did

> by-pass all the " necessary criteria " and decide that in my case

gastric

> bypass is medically necessary! So, half the battle is won! But, I

have a

> question...is it possible to self-pay the difference and have DS

instead of

> RNY? My doctor does both surgeries and I refuse to have RNY. My

PCP also

> believes that I should have the DS and not the RNY. So, we can

fight that

> battle if we need to. However, as of January 1, my insurance is

making some

> MAJOR changes in deductables and out of pocket expenses. So, if I

could

> self pay the difference and have my surgery before the 1st and then

appeal

> the amount that they pay...get the idea?

>

> Jerry, Southern Gal from LA...

>

>

> _________________________________________________________________

> Get your FREE download of MSN Explorer at

http://explorer.msn.com/intl.asp

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