Guest guest Posted December 28, 2002 Report Share Posted December 28, 2002 Theresa: Sorry to hear the bad news. These Ins. Companies can really drive you nuts can't they? I'm not there yet but I know I will go through the same thing. I think we can all expect that treatment since they are so stingy when it comes to us. Roe > Ok some of you know that I have been in appeals with my insurance for > reconstruction surgery for several area's in my body. Well I wasn't suppose > to find out until January 10th. Well after a very good day of shopping with > my lovely husband, we returned home to find a letter from the insurance > company that once again DENIED me! Those DIRTY ROTTEN SON OF > (#*) & $*#())*(#*)(#@*)@ & @)(*#* & *)(* @) & ( @* & #**$ & #@(@((*** & $# & @!($# (% & * > need i say more! > > Well needless to say they have just begun to know who Theresa Hensley is > cause I AM NOT BACKING DOWN! > > **Letter states: The denial is upheld. The medical information & letter that > were re-submitted w/the denial request do not determine whether more weight > loss is expected. Further, there is no documentation that medical treatment > has been tried (which is a bunch of bull). The denied procedures are > consider cosmetic in nature and not a covered benefit as outlined in medical > subscriber agreement.** > > I am still going in on January 13th for the Tummy Tuck and Ovary removal. > > Happy Holidays! > > > Theresa > > *Nothing Tastes As Good As Thinness Feels* > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 28, 2002 Report Share Posted December 28, 2002 When You do start getting to that point DOCUMENT DOCUMENT and oh yeah DOCUMENT!!! This snuck up on me and I didn't document but was also told there wouldn't be a problem. Well thats fine, I'll fight the fight and so far they have won the fight but I'll WIN THE WAR! My PS said that the insurance approved a lady for thighs and arms but denied her tummy, then approved a gal for her tummy and she didn't even have an apron not even a quarter of a tummy that I have. GO figure, so Yes they can drive one nuts!!! Happy Holidays! Theresa *Nothing Tastes As Good As Thinness Feels* -- Re: BAD NEWS Theresa: Sorry to hear the bad news. These Ins. Companies can really drive you nuts can't they? I'm not there yet but I know I will go through the same thing. I think we can all expect that treatment since they are so stingy when it comes to us. Roe Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 28, 2002 Report Share Posted December 28, 2002 Theresa ,Sis I am so sorry that bunch of quacks is putting you thru this crap ( if they carried around our extra skin for a while they would want to remove it too . Be sure they remember your name when you are done with them ) Hugs TN BAD NEWS > Ok some of you know that I have been in appeals with my insurance for > reconstruction surgery for several area's in my body. Well I wasn't suppose > to find out until January 10th. Well after a very good day of shopping with > my lovely husband, we returned home to find a letter from the insurance > company that once again DENIED me! Those DIRTY ROTTEN SON OF > (#*) & $*#())*(#*)(#@*)@ & @)(*#* & *)(* @) & ( @* & #**$ & #@(@((*** & $# & @!($#(% & * > need i say more! > > Well needless to say they have just begun to know who Theresa Hensley is > cause I AM NOT BACKING DOWN! > > **Letter states: The denial is upheld. The medical information & letter that > were re-submitted w/the denial request do not determine whether more weight > loss is expected. Further, there is no documentation that medical treatment > has been tried (which is a bunch of bull). The denied procedures are > consider cosmetic in nature and not a covered benefit as outlined in medical > subscriber agreement.** > > I am still going in on January 13th for the Tummy Tuck and Ovary removal. > > Happy Holidays! > > > Theresa > > *Nothing Tastes As Good As Thinness Feels* > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 28, 2002 Report Share Posted December 28, 2002 Thank you Sweet ! I'll make sure the WHOLE Company knows My name. Its gonna be like the TV Show Cheers.... Where everbody knows your name!,,,,,, Hi This is Ther.......... Oh yeah Hi Mrs. Hensley how are you......... What can we do for you TODAY??? No I'm sorry Mrs. Hensley we haven't heard anything on your 25th Appeal Letter I'm sure they will be in contact with you............ Headline News: " Call ID Goes Into Effect For Local Insurance Company " A lady by the name of Theresa Hensely has appealed her denial 45x's and still the insurance company denies her claim she needs these proceedures.....Can you help this lady? If so call 1-ReDoThighs or 1-ReDoBoobs. Geeze I think I need a drink! I'm loosing it! Happy Holidays! Theresa *Nothing Tastes As Good As Thinness Feels* -- Re: BAD NEWS Theresa ,Sis I am so sorry that bunch of quacks is putting you thru this crap ( if they carried around our extra skin for a while they would want to remove it too . Be sure they remember your name when you are done with them ) Hugs TN BAD NEWS > Ok some of you know that I have been in appeals with my insurance for > reconstruction surgery for several area's in my body. Well I wasn't suppose > to find out until January 10th. Well after a very good day of shopping with > my lovely husband, we returned home to find a letter from the insurance > company that once again DENIED me! Those DIRTY ROTTEN SON OF > (#*) & $*#())*(#*)(#@*)@ & @)(*#* & *)(* @) & ( @* & #**$ & #@(@((*** & $# & @!($#(% & * > need i say more! > > Well needless to say they have just begun to know who Theresa Hensley is > cause I AM NOT BACKING DOWN! > > **Letter states: The denial is upheld. The medical information & letter that > were re-submitted w/the denial request do not determine whether more weight > loss is expected. Further, there is no documentation that medical treatment > has been tried (which is a bunch of bull). The denied procedures are > consider cosmetic in nature and not a covered benefit as outlined in medical > subscriber agreement.** > > I am still going in on January 13th for the Tummy Tuck and Ovary removal. > > Happy Holidays! > > > Theresa > > *Nothing Tastes As Good As Thinness Feels* > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 29, 2002 Report Share Posted December 29, 2002 Oh , my PS sent them 10 pictures with the first letter and then when I sent my appeal letter I sent them another 32 picturesof the excess skin, short of making a video and HEY thats not a bad idea! Thanks, i'm going to keep the fight a live!Thanks! Happy Holidays! Theresa *Nothing Tastes As Good As Thinness Feels* Hey , can you send em pictures of the excess skin? Maybe it will get em thinkin. Oh, and write down every name you come across, and the date you spoke with them. Don't give up girl!!! Go get em! Happy New Year, L. O ~~~A Mother is someone who can take the place of all others, but whose place no one else can take~~~ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 29, 2002 Report Share Posted December 29, 2002 Thank You I will diffantly look into it! You have helped out alot. I'm going to use my hand and hopefully its not to fligh the birdie! Thanks Again! Happy Holidays! Theresa *Nothing Tastes As Good As Thinness Feels* -- BAD NEWS Theresa, I am soooo sorry that your insurance company is so full of,,, *manure*.... I used to work in the medical field, on the billing end of it for a private health care company, and believe you me! I FUMED at the thought of their stupid COMPANY DOCTORS telling our doctors/nurses that the patient did not need a MEDICALLY NECESSARY procedure! OMGosh! I am frustrated for you!! Have you tried writing your state's insurance commissioner? They may be able to help you. You need to call and ask for a form, fill it out, send the documentation, and state your case to them. If the insurance is not an HMO, then you stand a good chance of getting the commissioner's office to force their hand. If it is an HMO, then they are run by the Department of Corporations. Hope this helps! > Theresa ,Sis I am so sorry that bunch of quacks is putting you thru this > crap ( if they carried around our extra skin for a while they would want > to remove it too . Be sure they remember your name when you are done with > them ) > Hugs TN Katt Morales 1 1:9 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 29, 2002 Report Share Posted December 29, 2002 Thank You I will diffantly look into it! You have helped out alot. I'm going to use my hand and hopefully its not to fligh the birdie! Thanks Again! Happy Holidays! Theresa *Nothing Tastes As Good As Thinness Feels* -- BAD NEWS Theresa, I am soooo sorry that your insurance company is so full of,,, *manure*.... I used to work in the medical field, on the billing end of it for a private health care company, and believe you me! I FUMED at the thought of their stupid COMPANY DOCTORS telling our doctors/nurses that the patient did not need a MEDICALLY NECESSARY procedure! OMGosh! I am frustrated for you!! Have you tried writing your state's insurance commissioner? They may be able to help you. You need to call and ask for a form, fill it out, send the documentation, and state your case to them. If the insurance is not an HMO, then you stand a good chance of getting the commissioner's office to force their hand. If it is an HMO, then they are run by the Department of Corporations. Hope this helps! > Theresa ,Sis I am so sorry that bunch of quacks is putting you thru this > crap ( if they carried around our extra skin for a while they would want > to remove it too . Be sure they remember your name when you are done with > them ) > Hugs TN Katt Morales 1 1:9 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 29, 2002 Report Share Posted December 29, 2002 Theresa - I'm sorry you are having to do such battle with them. I will pray it somehow still works out for you. Jeanne in WI Age 39 Open RNY 05/21/2002 314/ 231/150-175 5' 8 " djgraves@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 29, 2002 Report Share Posted December 29, 2002 Theresa - I'm sorry you are having to do such battle with them. I will pray it somehow still works out for you. Jeanne in WI Age 39 Open RNY 05/21/2002 314/ 231/150-175 5' 8 " djgraves@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 29, 2002 Report Share Posted December 29, 2002 Idea when you send info to State ,would it help to also send pictures to them ,better yet send them certified so they can not say they did not get them just a thought!!!! Ethel euf27@... wrote: > Theresa, I am soooo sorry that your insurance company is so full of,,, > *manure*.... > I used to work in the medical field, on the billing end of it for a > private > health care company, and believe you me! I FUMED at the thought of their > stupid COMPANY DOCTORS telling our doctors/nurses that the patient did > not > need a MEDICALLY NECESSARY procedure! OMGosh! I am frustrated for > you!! Have > you tried writing your state's insurance commissioner? They may be > able to > help you. You need to call and ask for a form, fill it out, send the > documentation, and state your case to them. If the insurance is not an > HMO, > then you stand a good chance of getting the commissioner's office to > force > their hand. If it is an HMO, then they are run by the Department of > Corporations. > > Hope this helps! > > > > Theresa ,Sis I am so sorry that bunch of quacks is putting you thru this > > crap ( if they carried around our extra skin for a while they > would want > > to remove it too . Be sure they remember your name when you are done > with > > them ) > > Hugs TN > > Katt Morales > 1 1:9 > > > Quote Link to comment Share on other sites More sharing options...
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