XP-Update on Appeal

smileyjamie72
on 7/13/11 3:32 am - Palmer, AK

I posted this on the revisions board as well.

I contacted my secondary insurance yesterday (My primary does not cover WLS) regading my appeal. The Board of Trustees meeting is in 2 weeks. ~~This is the process for appeals through my secondary insurance company..... Appeals are reviewed Quarterly, at the Board of Trustees meetings~~

So, they have had the paperwork/appeal since June 6th (sent certified mail). Now, at least I have a date for the determination

-Jamie

p.s. I have new pics in my profile

RNY 2/26/2002                           DS 12/29/2011
HW 317                                     SW 263 BMI 45.1
SW 298                                     CW 192 BMI 32.9~60% EWL
LW 151 in 2003
TT 4/9/2003

Normal BMI 24.8 is my GOAL!!!

GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**

Sarah_Anne
on 7/13/11 4:57 am

DS on 11/04/10

Jamie,

I really admire your tenacity. I know you will get your DS one day. You certainly deserve it for refusing to give up!

S

HW 315/ SW 297 /CW 173 /GW 150, size 8/10, 5'8 tall (Updated December 1)

smileyjamie72
on 7/13/11 11:53 am - Palmer, AK

DS on 12/29/11

Thank YOU!!!!! I sure hope that their decision is an approval!!!!

-Jamie

RNY 2/26/2002                           DS 12/29/2011
HW 317                                     SW 263 BMI 45.1
SW 298                                     CW 192 BMI 32.9~60% EWL
LW 151 in 2003
TT 4/9/2003

Normal BMI 24.8 is my GOAL!!!

GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**

adkmtngirl
on 7/13/11 5:35 am - Brant Lake, NY

DS on 11/18/10

2 weeks? That's a lot better than the 7 we were all thinking you'd have to wait. Keep your chin up and your thoughts positive.

Kristina

smileyjamie72
on 7/13/11 11:59 am - Palmer, AK

DS on 12/29/11

Kristina,

Yes, after I heard from the insurance company, I wanted to update everyone with the timeframe!!!

I am trying to keep busy as I wait for the determination.

-Jamie

RNY 2/26/2002                           DS 12/29/2011
HW 317                                     SW 263 BMI 45.1
SW 298                                     CW 192 BMI 32.9~60% EWL
LW 151 in 2003
TT 4/9/2003

Normal BMI 24.8 is my GOAL!!!

GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**

Jody W.
on 7/13/11 6:57 am - Windsor, CT

DS on 08/16/11

WOW! That is great news.... It is amazing sometimes what a difference 1 day makes! I am keeping my fingers and my toes crossed for you and all those that are struggling with insurance woes....I wish they would figure out that it is going to cost waaaaayyyyyy more over a lifetime to keep us healthy if we don't receive the coverage for the surgery! Maybe one day!
Good Luck!!!

Original LapBand Surgery - 07/26/06- DS Surgery - 08/16/2011
HW/LW/SW/CW/GW
289/195/277.5/242.5/170

smileyjamie72
on 7/13/11 12:02 pm - Palmer, AK

DS on 12/29/11

Jody,

I am hoping that my next update will be that they approved me!!!! And you are right, one day sure does make a difference!!!!!

-Jamie

RNY 2/26/2002                           DS 12/29/2011
HW 317                                     SW 263 BMI 45.1
SW 298                                     CW 192 BMI 32.9~60% EWL
LW 151 in 2003
TT 4/9/2003

Normal BMI 24.8 is my GOAL!!!

GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**

Ann M.
on 7/13/11 7:29 am - GA

DS on 06/21/11

Good Luck!

-Band to DS revision on 06/21/2011!
Highest known Wt/ Lowest Wt (Banded)/ Regain-Starting Wt/ Current Wt/ Goal Wt
379.6/ 272/ 342/ 169/ South of 200

smileyjamie72
on 7/13/11 12:03 pm - Palmer, AK

DS on 12/29/11

Thank You, Ann!!!!

How are you feeling?

-Jamie

RNY 2/26/2002                           DS 12/29/2011
HW 317                                     SW 263 BMI 45.1
SW 298                                     CW 192 BMI 32.9~60% EWL
LW 151 in 2003
TT 4/9/2003

Normal BMI 24.8 is my GOAL!!!

GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**

Ann M.
on 7/13/11 2:49 pm - GA

DS on 06/21/11

Doing better day by day!

-Band to DS revision on 06/21/2011!
Highest known Wt/ Lowest Wt (Banded)/ Regain-Starting Wt/ Current Wt/ Goal Wt
379.6/ 272/ 342/ 169/ South of 200

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