On February 7, 2012 at 7:10 AM Pacific Time, Darla S. wrote:
I went through PNC 5 years ago, and it was smooth sailing from day one. Did you go to their info meeting and mail in the packet they give you? Did they give you a reason why they think you won't qualify? If it's a valid reason (health issue, psych eval, etc.), you should give it some serious consideration.
I know the staff in the bariatric department has gone through a number of changes in the past 5 years, and the nurse that helped me navigate it all has been gone for a few years already (although she has become one of my dearest friends). But none of them should never treat a patient with anything less than the utmost respect. It's a humbling thing to have to go through right from the start.
I guess all I can say is - if you can get through this preliminary stuff, continue to advocate for yourself and end up getting approved, the surgeons are absolutely top notch. And the support group they offer every 2nd and 4th Wednesday evening was absolutely key in the success I've had with my RNY. I haven't been able to get to one since last summer because of a second job I took on, but I may go tomorrow night.
I guess, at the risk of upsetting you, you should ask yourself - is this really a BAD experience, or am I just so anxious to get to the loser's bench that I'm feeling annoyed by all the steps it takes to get there?
Good luck to you. And feel free to attend their support group even before surgery, lots of WLS patients do. It'll give you encouragement to keep fighting for this.
I can tell you that the hoops I am having to jump through are annoying especially since this is the second program I have been with and I also completed three months of weight loss visits from my Dr and also did the psyc thing on my own. BUT my frustration with hoops plays no part in how rude a few of the staff members have been.
The reason they told me I did not qualify had nothing to do with health or mental issues. It was due to the fact that 2 years ago my BMI was 34 and my co-morbidities were diagnosed several months later. They said I need a full two year hist. I called my ins and asked this and talked to a nurse reviewer who then talked to a claims rep and they said it is case by case.
In my opinion if I wish to go for it than I expect support and the same treatment as they would give anyone else, not half ass work or rudeness because they do not think I will be approved. I imagine anyone would feel the same way.
And I also imagine that most of you out there would go for it if there was a chance of getting approved.
BTW they are making me re-do a lot of my previous work like Labs and the Psyc "because it is part of their program" not that the work was sub-par. Just one more way for them to get a bit more money.
I am very glad that most people have had or are having good experiences there.