Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 Pat, I am soooooo sorry you are going through this. I am new to this and wish I knew what to do to help you! I will say a prayer for you tonight at church and hope all works out. Is it possible for you to switch insurance companies? Sherry Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 Pat, I am soooooo sorry you are going through this. I am new to this and wish I knew what to do to help you! I will say a prayer for you tonight at church and hope all works out. Is it possible for you to switch insurance companies? Sherry Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 Oh Pat. So sorry. Have yourself a good cry, then get back on the horse and fight those bastar***s!!! Dr. R has a great appeal letter (I hear) and many here have been where you are. Please don't give up. You do have medical necessity. What is their problem? Are they deaf. dumb and blind??? Don't lose hope. We'll get you through this. It may soon be time for a lawyer. Medical necessity is established with a BMI over 40. Hell-o!! Duh. A**holes!!!!!!!!! Sheesh, I'm miffed!!! PhillyJude Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 Oh Pat. So sorry. Have yourself a good cry, then get back on the horse and fight those bastar***s!!! Dr. R has a great appeal letter (I hear) and many here have been where you are. Please don't give up. You do have medical necessity. What is their problem? Are they deaf. dumb and blind??? Don't lose hope. We'll get you through this. It may soon be time for a lawyer. Medical necessity is established with a BMI over 40. Hell-o!! Duh. A**holes!!!!!!!!! Sheesh, I'm miffed!!! PhillyJude Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 Pat-----I haven't gone up against an insurance company yet, so I have no advice to give you except to say keep fighting the good fight. I am so sorry that you have to go through this. To complete the packet and then be denied is I'm sure extremely depressing. I will keep you in my prayers. Pat (another MBG hopeful) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 Pat-----I haven't gone up against an insurance company yet, so I have no advice to give you except to say keep fighting the good fight. I am so sorry that you have to go through this. To complete the packet and then be denied is I'm sure extremely depressing. I will keep you in my prayers. Pat (another MBG hopeful) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 Hi Bonnie, my insurance is a County self funded plan. Pat Iurato Nevada Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 Hi Bonnie, my insurance is a County self funded plan. Pat Iurato Nevada Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 Pat Go ahead and appeal. Send as many people as you can your 4lbs of proof. One lady I read about on obesityhelp. actually talked to the media..and got her surgery. I have already been denied for pre-cert on an exclusion and have appealed. I got a letter today saying they received my appeal. and to be patient..(yeah right) perhaps and antidepressent would not be out of line, talk to your new pcp. keep on truckin!!! Suzanne Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 Pat Go ahead and appeal. Send as many people as you can your 4lbs of proof. One lady I read about on obesityhelp. actually talked to the media..and got her surgery. I have already been denied for pre-cert on an exclusion and have appealed. I got a letter today saying they received my appeal. and to be patient..(yeah right) perhaps and antidepressent would not be out of line, talk to your new pcp. keep on truckin!!! Suzanne Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 Well gang, my worst nightmare has come true. I just got a call and I have been denied by my insurance company. I am so depressed as I sit here in my office tears running down my face. They denied me because they say that medical necessity was not proven and no eating disorder was identified. I am 52 years old, 5'6 338lbs, BMI 54, sleep apnea, GERD,Hiatal Hernia,High Blood Pressure and Arthritis so bad in both knees and back that there are days I can hardly walk. They had about 4lbs of documentation and then have the balls to deny me saying no medical necessity was proven. I am so angry and upset right now. There is no way that I can afford this surgery on my own, so I dont know what to do. At this point I would sell my body, if I thought anyone would want it, just to have this surgery. I will appeal but that will take time and I dont want to wait that long. At the rate they take I may gain another 50lbs and then be ineligible. I am so damm depressed. Pat Iurato Nevada hopeless Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 Pat, Please don't give up! I am praying for you. This will work out. Get that famous letter from Dr. R. Give it a try and PRAY, PRAY, PRAY! I am thinking of you! Dedee Now what do I do?? So depressed!!!!!!!!!!! > Well gang, my worst nightmare has come true. I just got a call and I > have been denied by my insurance company. I am so depressed as I sit > here in my office tears running down my face. They denied me because > they say that medical necessity was not proven and no eating disorder > was identified. > I am 52 years old, 5'6 338lbs, BMI 54, sleep apnea, GERD,Hiatal > Hernia,High Blood Pressure and Arthritis so bad in both knees and > back that there are days I can hardly walk. They had about 4lbs of > documentation and then have the balls to deny me saying no medical > necessity was proven. I am so angry and upset right now. > There is no way that I can afford this surgery on my own, so I dont > know what to do. At this point I would sell my body, if I thought > anyone would want it, just to have this surgery. > I will appeal but that will take time and I dont want to wait that > long. At the rate they take I may gain another 50lbs and then be > ineligible. I am so damm depressed. > Pat Iurato > Nevada hopeless > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 Pat, Please don't give up! I am praying for you. This will work out. Get that famous letter from Dr. R. Give it a try and PRAY, PRAY, PRAY! I am thinking of you! Dedee Now what do I do?? So depressed!!!!!!!!!!! > Well gang, my worst nightmare has come true. I just got a call and I > have been denied by my insurance company. I am so depressed as I sit > here in my office tears running down my face. They denied me because > they say that medical necessity was not proven and no eating disorder > was identified. > I am 52 years old, 5'6 338lbs, BMI 54, sleep apnea, GERD,Hiatal > Hernia,High Blood Pressure and Arthritis so bad in both knees and > back that there are days I can hardly walk. They had about 4lbs of > documentation and then have the balls to deny me saying no medical > necessity was proven. I am so angry and upset right now. > There is no way that I can afford this surgery on my own, so I dont > know what to do. At this point I would sell my body, if I thought > anyone would want it, just to have this surgery. > I will appeal but that will take time and I dont want to wait that > long. At the rate they take I may gain another 50lbs and then be > ineligible. I am so damm depressed. > Pat Iurato > Nevada hopeless > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 Pat: I am so sorry that the a*shole insurance company denied you. Don't give up. Start your appeal immediately and have your doctor write a more detailed letter stating the 'NECESSITY " of having this surgery. Please don't give up. We are all behind you. Let me know if I can be of any help. Christy / CA MGB 11-8-00 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 Pat: I am so sorry that the a*shole insurance company denied you. Don't give up. Start your appeal immediately and have your doctor write a more detailed letter stating the 'NECESSITY " of having this surgery. Please don't give up. We are all behind you. Let me know if I can be of any help. Christy / CA MGB 11-8-00 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 You know I just might try to contact the media. Perhaps they can help. Who would I have to speak with? If anyone has any other ideas please feel free to email me. Thanks everyone for your support. Love Pat Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 You know I just might try to contact the media. Perhaps they can help. Who would I have to speak with? If anyone has any other ideas please feel free to email me. Thanks everyone for your support. Love Pat Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 I already have my appeal scheduled for the last Thrusday in January. The way they do it here is that I will bring my packet and whatever other information to them and appear in person to plead my case. I am hoping to have better luck before a board than with the asshole that denied me. My PCP wont be in his office for a while because he had the open RNY today in San Diego. He said he would be back at work Jan 2 but I dont know after his surgery if he will feel up to it. I know he will do whatever he can to help me because he knows what it feels like to be inside a fat body. He joked with me just the other day and said we could compare our weight loss together and we could go thru this together. He is such a special man and its nice to have him on my side. Wish he were in his office. Love Pat Nevada Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 I already have my appeal scheduled for the last Thrusday in January. The way they do it here is that I will bring my packet and whatever other information to them and appear in person to plead my case. I am hoping to have better luck before a board than with the asshole that denied me. My PCP wont be in his office for a while because he had the open RNY today in San Diego. He said he would be back at work Jan 2 but I dont know after his surgery if he will feel up to it. I know he will do whatever he can to help me because he knows what it feels like to be inside a fat body. He joked with me just the other day and said we could compare our weight loss together and we could go thru this together. He is such a special man and its nice to have him on my side. Wish he were in his office. Love Pat Nevada Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 Pat..... Who is your insurance with? They sound crazy!!!!!!Don't give up, keep bugging um!! Best to you/////// Bonnie Pat Iurato wrote: > > Well gang, my worst nightmare has come true. I just got a call and I > have been denied by my insurance company. I am so depressed as I sit > here in my office tears running down my face. They denied me because > they say that medical necessity was not proven and no eating disorder > was identified. > I am 52 years old, 5'6 338lbs, BMI 54, sleep apnea, GERD,Hiatal > Hernia,High Blood Pressure and Arthritis so bad in both knees and > back that there are days I can hardly walk. They had about 4lbs of > documentation and then have the balls to deny me saying no medical > necessity was proven. I am so angry and upset right now. > There is no way that I can afford this surgery on my own, so I dont > know what to do. At this point I would sell my body, if I thought > anyone would want it, just to have this surgery. > I will appeal but that will take time and I dont want to wait that > long. At the rate they take I may gain another 50lbs and then be > ineligible. I am so damm depressed. > Pat Iurato > Nevada hopeless > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 Pat..... Who is your insurance with? They sound crazy!!!!!!Don't give up, keep bugging um!! Best to you/////// Bonnie Pat Iurato wrote: > > Well gang, my worst nightmare has come true. I just got a call and I > have been denied by my insurance company. I am so depressed as I sit > here in my office tears running down my face. They denied me because > they say that medical necessity was not proven and no eating disorder > was identified. > I am 52 years old, 5'6 338lbs, BMI 54, sleep apnea, GERD,Hiatal > Hernia,High Blood Pressure and Arthritis so bad in both knees and > back that there are days I can hardly walk. They had about 4lbs of > documentation and then have the balls to deny me saying no medical > necessity was proven. I am so angry and upset right now. > There is no way that I can afford this surgery on my own, so I dont > know what to do. At this point I would sell my body, if I thought > anyone would want it, just to have this surgery. > I will appeal but that will take time and I dont want to wait that > long. At the rate they take I may gain another 50lbs and then be > ineligible. I am so damm depressed. > Pat Iurato > Nevada hopeless > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 Pat, I know your heart must be breaking over the insurance denial but please. don't give up! Look at it as a call to arms instead of a defeat. All of us here, you included,are tremendously brave, pro-active individuals. It would be so easy to just let the weight win but none of us have. Fight the good fight gf. Elaine > Pat..... Who is your insurance with? They sound crazy!!!!!!Don't give > up, keep bugging um!! Best to you/////// Bonnie > > Pat Iurato wrote: > > > > Well gang, my worst nightmare has come true. I just got a call and I > > have been denied by my insurance company. I am so depressed as I sit > > here in my office tears running down my face. They denied me because > > they say that medical necessity was not proven and no eating disorder > > was identified. > > I am 52 years old, 5'6 338lbs, BMI 54, sleep apnea, GERD,Hiatal > > Hernia,High Blood Pressure and Arthritis so bad in both knees and > > back that there are days I can hardly walk. They had about 4lbs of > > documentation and then have the balls to deny me saying no medical > > necessity was proven. I am so angry and upset right now. > > There is no way that I can afford this surgery on my own, so I dont > > know what to do. At this point I would sell my body, if I thought > > anyone would want it, just to have this surgery. > > I will appeal but that will take time and I dont want to wait that > > long. At the rate they take I may gain another 50lbs and then be > > ineligible. I am so damm depressed. > > Pat Iurato > > Nevada hopeless > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 Pat, I know your heart must be breaking over the insurance denial but please. don't give up! Look at it as a call to arms instead of a defeat. All of us here, you included,are tremendously brave, pro-active individuals. It would be so easy to just let the weight win but none of us have. Fight the good fight gf. Elaine > Pat..... Who is your insurance with? They sound crazy!!!!!!Don't give > up, keep bugging um!! Best to you/////// Bonnie > > Pat Iurato wrote: > > > > Well gang, my worst nightmare has come true. I just got a call and I > > have been denied by my insurance company. I am so depressed as I sit > > here in my office tears running down my face. They denied me because > > they say that medical necessity was not proven and no eating disorder > > was identified. > > I am 52 years old, 5'6 338lbs, BMI 54, sleep apnea, GERD,Hiatal > > Hernia,High Blood Pressure and Arthritis so bad in both knees and > > back that there are days I can hardly walk. They had about 4lbs of > > documentation and then have the balls to deny me saying no medical > > necessity was proven. I am so angry and upset right now. > > There is no way that I can afford this surgery on my own, so I dont > > know what to do. At this point I would sell my body, if I thought > > anyone would want it, just to have this surgery. > > I will appeal but that will take time and I dont want to wait that > > long. At the rate they take I may gain another 50lbs and then be > > ineligible. I am so damm depressed. > > Pat Iurato > > Nevada hopeless > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 Pat, I can't begin to tell ya how sorry I was when I read your post!! You made me cry, too. I also don't know what to say to you, except that I care about you and hope for nothing but good things for you... I got my fat stubby arms around you Pat, all the way out there to Vegas!! And I'll be doing it for real in about 2 wks... Try not to gain weight, I know that's hard but it's important. If you worry about it and you're anything like me, you'll gain from worrying. Your buddy, Trudy Now what do I do?? So depressed!!!!!!!!!!! Well gang, my worst nightmare has come true. I just got a call and I have been denied by my insurance company. I am so depressed as I sit here in my office tears running down my face. They denied me because they say that medical necessity was not proven and no eating disorder was identified. I am 52 years old, 5'6 338lbs, BMI 54, sleep apnea, GERD,Hiatal Hernia,High Blood Pressure and Arthritis so bad in both knees and back that there are days I can hardly walk. They had about 4lbs of documentation and then have the balls to deny me saying no medical necessity was proven. I am so angry and upset right now. There is no way that I can afford this surgery on my own, so I dont know what to do. At this point I would sell my body, if I thought anyone would want it, just to have this surgery. I will appeal but that will take time and I dont want to wait that long. At the rate they take I may gain another 50lbs and then be ineligible. I am so damm depressed. Pat Iurato Nevada hopeless Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2000 Report Share Posted December 14, 2000 Pat, I can't begin to tell ya how sorry I was when I read your post!! You made me cry, too. I also don't know what to say to you, except that I care about you and hope for nothing but good things for you... I got my fat stubby arms around you Pat, all the way out there to Vegas!! And I'll be doing it for real in about 2 wks... Try not to gain weight, I know that's hard but it's important. If you worry about it and you're anything like me, you'll gain from worrying. Your buddy, Trudy Now what do I do?? So depressed!!!!!!!!!!! Well gang, my worst nightmare has come true. I just got a call and I have been denied by my insurance company. I am so depressed as I sit here in my office tears running down my face. They denied me because they say that medical necessity was not proven and no eating disorder was identified. I am 52 years old, 5'6 338lbs, BMI 54, sleep apnea, GERD,Hiatal Hernia,High Blood Pressure and Arthritis so bad in both knees and back that there are days I can hardly walk. They had about 4lbs of documentation and then have the balls to deny me saying no medical necessity was proven. I am so angry and upset right now. There is no way that I can afford this surgery on my own, so I dont know what to do. At this point I would sell my body, if I thought anyone would want it, just to have this surgery. I will appeal but that will take time and I dont want to wait that long. At the rate they take I may gain another 50lbs and then be ineligible. I am so damm depressed. Pat Iurato Nevada hopeless Quote Link to comment Share on other sites More sharing options...
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