Re: Does anybody care at all?

[Guest guest]

well sooooozy --- have you had your pcp call yet and request the pre-certification for surgery? If that is all the insurance company I would be hopping on that phone first thing Monday morning! It is also not clear to me what the insurance company is saying about their benefits ... do they not give you proof of insurance - or a benefits folder, booklet or something? If they do not provide that from your employment .. I would find out where the headquarters are located ... and call them directly. Good Luck ..

Judi in MS

Awaiting Ins Approval

Dr. Booth

BMI 59

[Guest guest]

Dear Soozy: Honey, food is not your only friend. All of us here on this site have a common denominator. Food is insidious. Just when you think you have it under contol, it rears it's ugly head and the obsession begins. Please do not give up! It is very important to keep going. When one door closes, open the next one. Most people on this site have had to fight to get what they want. I'm sorry I don't know what to tell you to do, my insurance is totally different from most people here, I have Medicare. So in essence, I don't know what your next move is. For all of you here that have heard me say this more than once, I apologize. Soozy, remember this: a winner never quits and a quitter NEVER wins. Please remember this. Pain (this situation and feeling nobody is!

listening to you) is inevitable, however, suffering is optional. You can do it, girl. You must try a different path. If nothing changes, nothing changes.

At this site, you have been given a mutual support system. You have found people who understand you because they are like you. We all have the same problem, and together we are strong enough to solve anything. I hope some others who have gone through this same problem can give you advice. Keep going, Soozy. It only takes one person to change your life.....you. God bless, and be strong. Sometimes things do not happen in "our" time, but in "His" time. Love, Darlene in Fl.

[Guest guest]

I know how frustrating it is to wait and wait and wait...keep at your

insurance company and your PCP. Of course having this surgery means

more to you than it does to them, so you have to make sure you are

your own best advocate! I have been denied three times, but am still

researching and looking at every option I can find. The medical

community seems to be slow to recognize the life-saving potential of

WLS, and the insurance companies are even harder to convince! Maybe

it is time for you to be your own best friend, knowing that the

things in life worth having are worth fighting for! And I am sure

having your life and health are very worthy of the fight. Don't give

up, keep reading the posts, make sure you join the OSSGInsurance

egroup for information and tips also.

Keep fighting! You are worth it!

Jean

> I still dont know if my insurance will pay for my surgery.. they

say

> i have to have my pcp call for approval and then they'll tell me.

> cant get anything in writing about coverage for anything.. no

> surgeons in florida.. i hate this.. nobody is answering me.. maybe

> food is my only friend.

[Guest guest]

They want me to have the RNY because it can be done locally.. in

network.. but I dont WANT that one.. and we all know why ds is

better. I dont mean to sound like a brat.. but jeez.. anything this

serious should have some of my opinion in it.

what's ossg insurance?

> > I still dont know if my insurance will pay for my surgery.. they

> say

> > i have to have my pcp call for approval and then they'll tell me.

> > cant get anything in writing about coverage for anything.. no

> > surgeons in florida.. i hate this.. nobody is answering me..

maybe

> > food is my only friend.

[Guest guest]

Thanks.. ) .. No, they wont give me anything until the coverage

takes effect 01/01/01 .,. funny.. i viewed that date as the first day

of the rest of my life. Kinda like a whole new start. Now, im not so

sure. another of our members has the same company and was denied last

week even after dr. smith requested it with letter of medical

necessity.. out of network is what they said.. its just not fair that

we're held to that but there is no surgeon in florida or network that

does bpd/ds. i can have rny if i want,but i dont. My PCP is the one

who suggested it.. who wudda thunk?

> well sooooozy --- have you had your pcp call yet and request the

> pre-certification for surgery? If that is all the insurance company

I would

> be hopping on that phone first thing Monday morning! It is also not

clear to

> me what the insurance company is saying about their benefits ... do

they not

> give you proof of insurance - or a benefits folder, booklet or

something? If

> they do not provide that from your employment .. I would find out

where the

> headquarters are located ... and call them directly. Good Luck ..

>

> Judi in MS

> Awaiting Ins Approval

> Dr. Booth

> BMI 59

[Guest guest]

Roops... <new keyboard for christmas..blush>

anyway... Dr G is sending the letter.. but they want me to go to a

local surgeon to get referred? growl... patience..

Rules of life

" Commitment turns dreams into reality. "

ibdebi

pre-op BMI 46

Dr Gagner 1/18

pending insurance approval

[Guest guest]

Soozy, Dr was out of network for me also, but once I explained

how he was the only surgeon and the closest surgeon to me that offers

lap DS, they then agreed to cover him in-network. This might be

worth a try for you also.

B.

> > well sooooozy --- have you had your pcp call yet and request the

> > pre-certification for surgery? If that is all the insurance

company

> I would

> > be hopping on that phone first thing Monday morning! It is also

not

> clear to

> > me what the insurance company is saying about their benefits ...

do

> they not

> > give you proof of insurance - or a benefits folder, booklet or

> something? If

> > they do not provide that from your employment .. I would find out

> where the

> > headquarters are located ... and call them directly. Good Luck ..

> >

> > Judi in MS

> > Awaiting Ins Approval

> > Dr. Booth

> > BMI 59

[Guest guest]

what sort of insurance do you have?

, personal friend of food

----- Original Message -----

> I still dont know if my insurance will pay for my surgery.. they say

> i have to have my pcp call for approval and then they'll tell me.

> cant get anything in writing about coverage for anything.. no

> surgeons in florida.. i hate this.. nobody is answering me.. maybe

> food is my only friend.

>

>

>

>