giving up on the dream that i wanted

hi  everyone  my name is joe from lansing michigan i was to have  weight loss surgery  this fall  i finaly found a hospital  were i fell real good about  and were they treat me like a person  and talk to you and not down to you  this place were i was to have my surgery  is so nice they say please and thank you to  you  they take the time to talk to you they take every step  to be sure your surgery will be a safe one on june 13 of 2007 i had my pre surgery check  up to be sure i was  in good health for the surgery  i learn that my vitamin d was low and that my pht was high the doctor told me  once  i get my vitamin d up and my pht down i am  good to go for my surgery  so iam work on geting the vitamin d up and the pht down  i felt so good about this  and finaly had come over my fears of this surgery   i could not wait to have the surgery  and the long healthy life i was going to have my dream was to come true  next year i was going to start boat racing my self  and do all the stuff  i cant do now because of being over weight but i guess  now it wont happen  on tuesday i  got a letter from the ins company  say  your not aloud to have this surgery yet this same ins company  sent me a letter saying your good to go you can have your surgery but now they  say i cant have it  so  now  i will give up on this dream  i cant get a lone because my credit is to bad  i dont have the money to fight  the ins company  i think it is very un fair to me  that i have to live my life being big  so this after noon i will call the doctor office to tell  them to forget it and to tear up all my paper work  and give my appt  times to people  who can have the surgery  because iam sure not going to be able to have the surgery so as i sit here  i can say my fight is over  for me good luck to every one who is waiting to have surgery  and the ones who had already  had it   good luck in your weight loss  so i will say goodbye  to you all joe from lansing  mi

Joe, I'm from Lansing, also.  I, like you, chose Dr. Kemmeter with MMPC.  I was told by the insurance company that I was an excellent cadidate for WLS but was denied.  You need to call MMPC and  ask them what your next step is.  For me, it was an appeal.  Things took a little longer than I had hoped, but in the end, it's all been worth fighting for. Don't give up yet.  Your journey is just beginning! Jenn

hi its  joe from lansing  thank you for  your reply   the place iam going to  is mmpc  and my surgeon is dr paul kemmeter i like him a lot  he talk to me like a person should be talked to  i fell so at ease with him that why i want him as my surgeon  i just learn tonight from  my ins company  that they made a miss take  they said i can have my surgery  they gave me the ok  to have  and they did say  they were sorry  for the miss take  i see it like this  i dont trust the ins company  no more  i be leave it when i see it  or i see the hospital room  but i wont hold my breath  on a surgery date  as well  i think the ins company is playing games  and they like it  thanks for your time  i hope we can chat some soon  take care joe  from lansing

Hi Joe, I had to go through two written appeals and a face to face appeal. I drove 4 hours each way for the face to face appeal.  Was it worth it?  YES!!!   I was like you I didn't beleive that it would really ever happen. I didn't beleive it until the morning of surgery.  Don't give up ever!   It's all worth it. Listen to the people on this board.  I couldn't have gotten through all of this without them. Good Luck and schedule that surgery.

dont stop now Joe..........you need to appeal.....it wont cost you--only your time.......and have the surgeon's office follow up--------you need to ask the insurance company to be clear why they are denying you, and then build your case.......someone in the surgeon's office can help you put that together.............good luck............keep on going Joe..........it is so worth it once you get it all done!

You got two letters from the insurance company?  One saying yes and the other saying no??  What company do you have for your insurance?  If you have both letters, I would definitely call and get some answers.   It could also be something as small as missing a test result, physician letter, etc.  I would not give up.  Fight and get the answers you are looking for in regards to both letters.  Then, if they stick to the second letter, I would appeal, appeal, appeal.  After all, if they sent you one saying you were good to go, then you should have a strong enough case to move forward. Michelle

Joe, in case you need it, the Michigan Department of Labor and Economic Growth has an Office of Financial and Insurance Services which handles insurance complaints... they have a complaint hotline...their number is 1-877-999-6442.  I would make sure that you keep copies of all correspondence you received from this insurance company and should this company change their mind again, I would give the hotline a call.  Maybe they could get to the bottom of this company's "mistakes".  I hope that everything goes smoothly from here on for you.  Please do not give up on your dream.  

Joe, I couldn't agree more with Roseybud5.  Go for that appeal - I know I did!