Another Battle Won In the Fight for WLS
I had a pleasant phone chat earlier today from a former client of mine that I had not talked to in over a year .. 
He is a simple gentleman that weighs close to my previous weight (400s), is in his 50s and was suffering very badly from diabetes ..
I remember the day I originally met him and his wife in my office back then and telling them about my WLS, which was only a year or so earlier .. I hoped to give him the idea of looking into it for himself ..
My former client very pleasantly informed me that he had WLS (VSG) a couple of months ago and has already lost 60 lbs. .. His diabetes has reducded sufficiently for him to go from 8 shots of insulin a day to just 2 ..
I found it very itneresting (and inspirational) when we got to the part about how he paid for his WLS, and he told me that, as usual, his ins. co. (I forgot the name) would NOT cover his surgery ... And this was despite the fact that he had already lost a big toe and another toe on the other foot due to his diabetes .. Still, her persisted in his fight and his appeals with the ins. co. Finally, he ended up driving all the way to Austin, over 200 miles away,
to plead his case before an appeal panel telling them bluntly how the surgery was the only way to save his life, and pointing out to them how their co. had to already spend over 1/2 a million dollars just for his care while he spent a month in the hospital as a result of the big toe infection and amputation. 
Surgery approved!
So, keep in mind, as Winston Churchill said, "never, never surrender!" ..
He is a simple gentleman that weighs close to my previous weight (400s), is in his 50s and was suffering very badly from diabetes .. I remember the day I originally met him and his wife in my office back then and telling them about my WLS, which was only a year or so earlier .. I hoped to give him the idea of looking into it for himself ..
My former client very pleasantly informed me that he had WLS (VSG) a couple of months ago and has already lost 60 lbs. .. His diabetes has reducded sufficiently for him to go from 8 shots of insulin a day to just 2 ..
I found it very itneresting (and inspirational) when we got to the part about how he paid for his WLS, and he told me that, as usual, his ins. co. (I forgot the name) would NOT cover his surgery ... And this was despite the fact that he had already lost a big toe and another toe on the other foot due to his diabetes .. Still, her persisted in his fight and his appeals with the ins. co. Finally, he ended up driving all the way to Austin, over 200 miles away,
to plead his case before an appeal panel telling them bluntly how the surgery was the only way to save his life, and pointing out to them how their co. had to already spend over 1/2 a million dollars just for his care while he spent a month in the hospital as a result of the big toe infection and amputation. Surgery approved!
So, keep in mind, as Winston Churchill said, "never, never surrender!" ..
Frank talk about the DS / "All I ever wanted to be was thin, like that Rolling Stones dude ... "
HW/461 LW/251 GW/189 CW/274 (yep, a DS semi-failure - it happens :-( )
Frigging insurance company *******s - hellspawn. If the people making the decisions would only look at the bigger picture then there would be no need for haggling, appealing, arguing. The money spent in treating comorbidities like high blood pressure, heart disease, diabetes, congestive heart failure, sleep apnea, high cholesterol, etc. pales in comparison to the money spent in providing the RNY surgery or the Lap band surgery. IDIOTS
Insurance companies and their minions are evil demon people who work for the devil.
Taz
Insurance companies and their minions are evil demon people who work for the devil.
Taz
Amen, Tazer!
I just posted to TT a chart from the Obesity Action Coalition's website that shows, statistically, how much, in terms of years of life and $$s, that WLS saves .... The #s were just incredible (and the cost of WLS saved MANY times over!)
Unfortunately, most of the demon ins. cos. are just too nearsighted to see that .. 
I just posted to TT a chart from the Obesity Action Coalition's website that shows, statistically, how much, in terms of years of life and $$s, that WLS saves .... The #s were just incredible (and the cost of WLS saved MANY times over!)
Unfortunately, most of the demon ins. cos. are just too nearsighted to see that .. Frank talk about the DS / "All I ever wanted to be was thin, like that Rolling Stones dude ... "
HW/461 LW/251 GW/189 CW/274 (yep, a DS semi-failure - it happens :-( )
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