CuteDonna 19 years, 5 months ago

Thanks Mary for having me in your prayers and thoughts. I have some good news. I think I was approved. Everyone keeps telling me I was approved but I guess I won't believe it until I get the surgery. I got the fallowing letter today in the mail. ************************************************** Dr. Ms. C; This letter is in response to your request for an appeal of denial of Bariatric Surgery. A physician who specializes in general surgery and who had no involvement in the original denial reviewed your request and the available clinical information, based on the review this review of the original denial has been reversed. Decision: Certify proposed bariatric surgery. Reason: Approval is based upon recommendation by an external peer reviewer, after consideration on the member’s individual clinical circumstances. The member has met all BCBSIL medical policy criteria for proposed bariatric surgery. This letter is not a guarantee of benefits as eligibility requirements, terms, conditions and exclusions of the member’s health plan, such as pre-existing condition provisions may apply.

Starshine 19 years, 5 months ago

Donna, I'm keeping you in my thoughts for insurance approval for your WLS. Keep us posted. A correction to my website URL. I forgot to put 'www' in. Here is is: http://www.marystarshine.com Mary

Starshine 19 years, 5 months ago

Happy Thanksgiving to all of you, also. I appreciated the support. Mary

CuteDonna 19 years, 5 months ago

Happy Thanksgiving Mary and Happy Thanksgiving to everyone else. I'm thankful for my family, thankful for living and breathing every day and I'll be even more thankful on the day I'm approved for WLS.

sweetpea1965 19 years, 5 months ago

Praying that you have a successful surgery and recovery. Cheers to a longer healthier life!!!! Stop in on the message board and let everyone know how you are doing. Take care & God bless. Daniele :)

Starshine 19 years, 5 months ago

It's Mary here! I really appreciate hearing from you folks. It was nice seeing an e-mail from Princess Splenda. Love the name. My surgery date of Dec. 16th is holding firm. This is a good thing. Dr. Koren's office has applied for insurance approval and I'm told that Capital Blue Cross will accept readily. If you want to see my before pics, go to my website: http://marystarshine.com I'm so grateful for obesityhelp.com. Happy Thanksgiving to all, Mary L-T

princesssplenda 19 years, 5 months ago

Your exciting day is fast approaching! I'm praying for the skilled hands of your surgeon to give you a surgery day with no complications. Keep us posted of your many successes on the losing side. Big (((((hugs))))) from my heart! Candy RNY 11/16/04 (6 days postop)
About Me
Allentown, PA
Location
28.9
BMI
RNY
Surgery
12/14/2004
Surgery Date
Jun 04, 2004
Member Since

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