Re: UNBELIEVABLE!

[Guest guest]

Wow Chanda,

I have never heard of that happening before. How can they approve you and then turn around and take it back? Keep at it and don't give up. It is too bad you have to go through so much just so that you can be healthy. Good luck on your appeal.

Ramona

[Guest guest]

Chanda

you described this perfectly UNBELIEVEABE...............i just dont get this..................i hope it clears up soon for you

best of thoughts your way

Colleentballmom1229 wrote:

As some of you might recall, several nights ago I posted a message stating I had received an APPROVAL letter from Kaiser for a gastric bypass (this letter came by mail on Friday 5/28). Unbelievably, last night I received another letter from Kaiser stating I had been DENIED. Since I have been going thru the appeals process, I called my appeals case worker in Oakland and she has no clue how I received an approval letter. She says they will investigate it and get back to me. But as far as they are concerned, I am DENIED. (The approval letter is dated one day before the denial letter and the post marks are two days apart.) I am so upset right now. This is worse than when I was denied the first time. It's like having something so wonderful given to you and then snatched back. Since

Saturday afternoon, I have believed I was FINALLY going to get this surgery. Anyway, I have already begun the appeals process with the DMHC but it's still so frustrating. I have been fighting with Kaiser on this for almost ONE year. ly, I believe they should honor the approval letter since they sent it out first but, unfortunately, things don't work that easily. Anyway, I just wanted to vent and share a little. Thanks for listening. ChandaColleen

[Guest guest]

Chanda

I am so sorry you are having to go through this tremendous ordeal. I

know how much of a rollercoaster of emotions this journey is even if

everything goes smoothly, so I can imagine the emotional turmoil this

has all caused you. If there is anyway I can help, just let me know.

[Guest guest]

Hi Chanda,

That is so wrong!!! It is difficult enough to deal with being denied, but

to have them get your hopes up and then dash them is just WRONG! Talk about

the Grinch stealing Christmas. I'm glad to hear that you've already started

the process of appealing through the DMHC. Please, let us know how things

proceed there. I'll keep you in my thoughts and prayers.

Take care,

Kay

open RNY 12/1/03

tballmom1229 wrote:

As some

of you might recall, several nights ago I posted a message

stating I had received an APPROVAL letter from Kaiser for a gastric

bypass (this letter came by mail on Friday 5/28). Unbelievably, last

night I received another letter from Kaiser stating I had been

DENIED. Since I have been going thru the appeals process, I called

my appeals case worker in Oakland and she has no clue how I received

an approval letter. She says they will investigate it and get back

to me. But as far as they are concerned, I am DENIED. (The approval

letter is dated one day before the denial letter and the post marks

are two days apart.) I am so upset right now. This is worse than

when I was denied the first time. It's like having something so

wonderful given to you and then snatched back. Since Saturday

afternoon, I have believed I was FINALLY going to get this surgery.

Anyway, I have already begun the appeals process with the DMHC but

it's still so frustrating. I have been fighting with Kaiser on this

for almost ONE year. ly, I believe they should honor the

approval letter since they sent it out first but, unfortunately,

things don't work that easily. Anyway, I just wanted to vent and

share a little. Thanks for listening. Chanda

[Guest guest]

Chanda,

Getting the Approval Letter will only help your case with the DMHC. Don't worry--you will be approved.

Laurie W.

UNBELIEVABLE!

As some of you might recall, several nights ago I posted a message stating I had received an APPROVAL letter from Kaiser for a gastric bypass (this letter came by mail on Friday 5/28). Unbelievably, last night I received another letter from Kaiser stating I had been DENIED. Since I have been going thru the appeals process, I called my appeals case worker in Oakland and she has no clue how I received an approval letter. She says they will investigate it and get back to me. But as far as they are concerned, I am DENIED. (The approval letter is dated one day before the denial letter and the post marks are two days apart.) I am so upset right now. This is worse than when I was denied the first time. It's like having something so wonderful given to you and then snatched back. Since Saturday afternoon, I have believed I was FINALLY going to get this surgery. Anyway, I have already begun the appeals process with the DMHC but it's still so frustrating. I have been fighting with Kaiser on this for almost ONE year. ly, I believe they should honor the approval letter since they sent it out first but, unfortunately, things don't work that easily. Anyway, I just wanted to vent and share a little. Thanks for listening. Chanda

[Guest guest]

Chandra,

I'm a little late read emails, but you are right. This is unbelievable! Keep pushing, I know you will be approved, it just may take a little more time and more of a fight.

Caroltballmom1229 wrote:

As some of you might recall, several nights ago I posted a message stating I had received an APPROVAL letter from Kaiser for a gastric bypass (this letter came by mail on Friday 5/28). Unbelievably, last night I received another letter from Kaiser stating I had been DENIED. Since I have been going thru the appeals process, I called my appeals case worker in Oakland and she has no clue how I received an approval letter. She says they will investigate it and get back to me. But as far as they are concerned, I am DENIED. (The approval letter is dated one day before the denial letter and the post marks are two days apart.) I am so upset right now. This is worse than when I was denied the first time. It's like having something so wonderful given to you and then snatched back. Since

Saturday afternoon, I have believed I was FINALLY going to get this surgery. Anyway, I have already begun the appeals process with the DMHC but it's still so frustrating. I have been fighting with Kaiser on this for almost ONE year. ly, I believe they should honor the approval letter since they sent it out first but, unfortunately, things don't work that easily. Anyway, I just wanted to vent and share a little. Thanks for listening. Chanda

[Guest guest]

Chanda,

At this point, I can understand your frustration. And it seems cruel

for them to send out an acceptance letter and then a rejection--

causes unnecessary suffering. You should definitely tell the DMHC

what happened (fax them copies, maybe) and ask them whether you

should consult an attorney about this.

Martha

>

> > As some of you might recall, several nights ago I posted a message

> > stating I had received an APPROVAL letter from Kaiser for a

gastric

> > bypass (this letter came by mail on Friday 5/28). Unbelievably,

last

> > night I received another letter from Kaiser stating I had been

> > DENIED. Since I have been going thru the appeals process, I

called

> > my appeals case worker in Oakland and she has no clue how I

received

> > an approval letter. She says they will investigate it and get

back

> > to me. But as far as they are concerned, I am DENIED. (The

approval

> > letter is dated one day before the denial letter and the post

marks

> > are two days apart.) I am so upset right now. This is worse than

> > when I was denied the first time. It's like having something so

> > wonderful given to you and then snatched back. Since Saturday

> > afternoon, I have believed I was FINALLY going to get this

surgery.

> > Anyway, I have already begun the appeals process with the DMHC but

> > it's still so frustrating. I have been fighting with Kaiser on

this

> > for almost ONE year. ly, I believe they should honor the

> > approval letter since they sent it out first but, unfortunately,

> > things don't work that easily. Anyway, I just wanted to vent and

> > share a little. Thanks for listening. Chanda

[Guest guest]

Chanda:

This really is beyond UNBELIEVABLE! Thanks for sharing with the

group. You have all of our support, and it appears from their mess

up that you have a great case for being approved.

Just remember that while this may be a struggle that's difficult to

face (and entirely unnecessary!), you are worth every effort. We're

behind you all the way.

Gemello

-135 lbs

> As some of you might recall, several nights ago I posted a message

> stating I had received an APPROVAL letter from Kaiser for a gastric

> bypass (this letter came by mail on Friday 5/28). Unbelievably,

last

> night I received another letter from Kaiser stating I had been

> DENIED. Since I have been going thru the appeals process, I called

> my appeals case worker in Oakland and she has no clue how I

received

> an approval letter. She says they will investigate it and get back

> to me. But as far as they are concerned, I am DENIED. (The

approval

> letter is dated one day before the denial letter and the post marks

> are two days apart.) I am so upset right now. This is worse than

> when I was denied the first time. It's like having something so

> wonderful given to you and then snatched back. Since Saturday

> afternoon, I have believed I was FINALLY going to get this

surgery.

> Anyway, I have already begun the appeals process with the DMHC but

> it's still so frustrating. I have been fighting with Kaiser on

this

> for almost ONE year. ly, I believe they should honor the

> approval letter since they sent it out first but, unfortunately,

> things don't work that easily. Anyway, I just wanted to vent and

> share a little. Thanks for listening. Chanda