tammym

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I am happy but also stressed out. My date is not until January. I...

Another cataract - If I had the revision already, I wouldn't have another cataract now.  This is what disappoints me about the length of the process.  While the insurance company is finding more and ...

It took me over 18 months, and five appeals, including letters to the...

I've got a date! - January 9th.

I've got a date! - January 9th.  I have an apt with Dr. Patterson on December 13th. 

APPROVED! After 4th appeal - I'm in shock! Dr. Pattersons office just called and told me I have finally been approved.  It's been a very long wait! 

Denial letter # 3 - Yesterday I received a denial letter again.  Aetna is claiming that since I failed before, that they will not cover the revision to gastric bypass.  BUT! Today, I received a ...

Third Appeal... - Well I finally hear back from the insurance company after repeatedly asking for the reason for the denial. They said my denial is because I did not travel 2000 miles every week to ...

ERISA - The consumer protection department forwarded my complaint to "ERISA" some governing organization for non-insurance companies.  AETNA told them I did not fulfill the requirements to...

Consumer Protection Department response - I received a letter back from the consumer protection department. They contacted my insurance (Aetna), who told them that they are A) not an insurance company and B) not located ...

Anyone with experience with Consumer Protection De - It's been a long time since I've posted on this board.  I jumped through all the hoops to get a revision last year but my insurance company  (Aetna) still denied me even though the...

Still haven't lost all hope - the insurance denial was devastating.  I met all the requirements.  Jumped through all the hoops.  Went through the appeal process.  The surgeons office said there is nothing more ...

Approval? - Dr. Raum reviewed the notes from my appointment on Friday 8/13 and approved me for gastric bypass surgery.  They will submit for insurance approval on Monday 8/16 and said it tak...

Results of sleep study, Physical Therapy, Nutritio - It's  been a while since I updated.  I am now 176 pounds. Still a size 18.  I can squeeze into a 16 but it sure isn't comfortable. It's getting much more difficult to stick to the ...

Fasting, Exercise, Breathing, Pulmonology, & Sleep - Well I've been on the fast for over a week.  I've lost 3 pounds. I can't sleep,  I'm tired all the time, and I'm STARVING all the time, but at least the diet drinks are not bad.  I...

Physical Therapist, Endocrinologist, & PCP appoint - This morning I saw Tony Wolff for Physical therapy.  He had a lot of suggestions that I increase my activity level.  The reason I'm researching WLS is because I am unable to incr...

More hoops... - Today I called my insurance company, per the dieticians request, to find out if they would waive the three month supervised diet requirement since I already have two years of med...

Endoscopy results - Dr. Patterson called today, she said that the endoscopy went fine, and that she can do the revision and can do it laparoscopically.  That's a big relief! At least now I know I'm no...

Dietician appointment... - Well now I feel twice vindicated.  My primary care doc had put me on a 1500 calorie  per day 'diet', and when I gained four pounds on it, she was convinced I must be cheating.  The...

Disorganized much? - Yesterday someone from the Legacy sleep lab called to schedule a sleep study.  But I already have my consult scheduled at OHSU, because at my last appointment I was told by Dr. P...

More appointments scheduled... - While I was at my endoscopy on Friday, the Weight Management Institute called my house and said that I must go through three months of physical therapy before I can get another con...

Psychologist & Scope Appts. - Today, June 4th, I had appointments with Dr. York for my psychology evaluation, and an appointment with Dr. Patterson to do a scope. The appt. with Dr. York went fine. She is ve...

Starting the revision process... - After VGB surgery in 2001, I lost 50 pounds and kept it off for five years.  Since then I've gained back nearly all of my weight and my diebetes, high blood pressure, asthma, and c...

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