Hello my name is Sheri Kane.  I weigh 220 and I am 5 feet 4 inches. makeing my BMI 39.9. I also have sleep apnea pretty bad.  I have wanted gastrict bypass for a couple of years now.  when I first decided, my Doctor told me to try a few more things first, so i took a year trying a couple different personal trainers, just to loose a few pounds and gain it all back and then some.  So i went to my DR and said i was ready!! She then let me know that I had to go through a 6 month nutrition class.  so i went a head and did that.  when I was finished I had to wait for referral after referal to see the cardio Dr, sleep apnea Dr, ECT... I went to the surgeon and he approved and gave me an appt. for a couple days later and put in a stat referal because he had an opening and I had some time off work.  My insurance denied me, telling me that there was a 6 month program called healthy roads that the insurance requires before sugery.  i had never been informed of this through all the referals and DR's appt.  no one ever told me about this program. So i begin the program, 4 months in I missed one of my appt. and i called to reschedule, healthy roads then informs me that my insurance doesnt require this program anymore and hasn't for a few months.  So I call the surgeon and ask them to resubmit the paperwork. After a few weeks i am denied again.  This time because they say my BMI is 38, which its 39.9 says my surgeon (requirement 40, or 35 or higher with a co-obese condition) and because i dont have a co-obese condition, like sleep apnea, which I do have!!!  So for the past 2 weeks they have been reviewing my denial, i call everyday, hopefully that will make them take me seriiously.  I guess to them I am a stack of papers on their desk!! So yesterday I was finally able to talk to the supervisor and she said she would be seeing the "main guy" this morning and she would make sure to call my cell phone today!!  I am trying my best to keep down my anxiety but these people are making me crazy!!  The LORD willing i should have my answer today!  Pray for me!

About Me
Location
39.5
BMI
RNY
Surgery
02/06/2008
Surgery Date
Jan 02, 2008
Member Since

Friends 12

Latest Blog 4
Im sick
I'm so excited
I got a surgery date!!!!!
Oh my gosh!!!!!

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