Recent Posts
Topic: RE: Time has come
Hello Melissa, i am home and doing ok, i do need to say that it was a little more painfull than I thought it would be, trying to get in purees and protein, not hungry at all, to be honest all i want to do is drink cold liquids, i use to like my drinks room temp, no more the colder the better.
Surgery went well, I had my done at The Mariam Hospital and what a great time I had there, could not have been more Happy if I was staying at a 5 star hotel, the Nursing care was exceptional. all i need now is to get the drain they put in me out on Tuesday and i am sure i will start to feel much better.
Good luck on the 16th i will say a prayer that everything goes well, keep in touch.
Billy
Surgery went well, I had my done at The Mariam Hospital and what a great time I had there, could not have been more Happy if I was staying at a 5 star hotel, the Nursing care was exceptional. all i need now is to get the drain they put in me out on Tuesday and i am sure i will start to feel much better.
Good luck on the 16th i will say a prayer that everything goes well, keep in touch.
Billy
Topic: RE: Time has come
Hi Billy. I hope that you are home by now and feeling better from your surgery! Drop a note when you have a chance to update me how your doing.
~Melissa
Topic: RE: First letters to UHC - Wish me Luck!
Best of luck Red! I have my fingers & toes crossed for you too..hopefully you'll be surprised and get a good news letter but I know how you feel being on the defensive side of it. I was that way too...Aetna required that I do 6 months up front of dietician counseling and it seemed like it took forever..along with a lot of other invasive testing that they required but it finally worked in my favor. Keep up the fight!!!!
My date is quickly approaching and I'll check back once I'm home from the hospital to check back to see how you made out.
BEST OF LUCK!!!
My date is quickly approaching and I'll check back once I'm home from the hospital to check back to see how you made out.
BEST OF LUCK!!!
~Melissa
Topic: RE: First letters to UHC - Wish me Luck!
From personal experience I will tell you that the ONLY one able to lift the exclusion is your employer!! UHC will reject. My surgury was not covered by my medical. I only found out 6 months AFTER surgury. I have BC-MA and BC-RI approved it and surgury was completed. I have written so many letters to so many different companies & lawyers and have come up with so many denials. FINALLY I was notified that if and only if my company would make an exception to lift the exclusion then and only then would my medical cover the expenses. Well that has not happened to date and I am paying Dr Roye $50.00 /month untill all my balance to him is paid. The hospital has not bothered me..I'm ssure they will garnish my paycheck at soem point.
GOOD LUCK and go to who ever writes up the meidcal palns in your company and they will have to find a way to lift the exclusion!!
Jaime
GOOD LUCK and go to who ever writes up the meidcal palns in your company and they will have to find a way to lift the exclusion!!
Jaime
Topic: First letters to UHC - Wish me Luck!
Well, I put the letters and all my back up letters and information in the mail this morning to United Healtcare. Asking for pre-approval for the exclusion on my health coverage. I'm not very hopeful, maybe it's a defense mechanism, to get get excited, so as to not be so dissapointed, oh well.
What I did find out through my initial research, is that it wasn't my company's decision to exclude it from the benefits covered, it was in fact UHC's decision for our company. My CFO did go to bat, sending emails, inquiring, etc. Short of changing insurance companies, I dont' think there was more he could do, so this is my next step.
Fingers crossed......... oh hell..... everything crossed!!!
Red
What I did find out through my initial research, is that it wasn't my company's decision to exclude it from the benefits covered, it was in fact UHC's decision for our company. My CFO did go to bat, sending emails, inquiring, etc. Short of changing insurance companies, I dont' think there was more he could do, so this is my next step.
Fingers crossed......... oh hell..... everything crossed!!!
Red
Topic: RE: NOT a happy Camper
I'm battling with United Health to just approve lap band. it's an exclusion and I'm working on a letter for appeal it. it is frustrating when you pay all this money for health coverage and when you need it, you have to fight them. Good Luck!
Topic: RE: NOT a happy Camper
yeah - i'm going to work on that
Hopefully going towards a better life with the support of others! 

Topic: NOT a happy Camper
Just found out Blue Cross will not cover the sleeve.... They say it's experimental... How come United Health can cover it but not Blue Cross.... With the THOUSANDS of dollars I pay for my medical insurance.... This truly SUCKS!
I'm PISSED!
I'm PISSED!
Hopefully going towards a better life with the support of others! 
