Question:
Fighting a denail

Well its been awhile since I posted, I lurk alot, and think alot, and read alot *Smiles*. Im still waiting on my appeal sent out on Sept 6. I was denied but not, they said they didnt want to give precertification, but they have no exclusion, so I told them I wanted to be precertified before surgery, plus my surgeon wont even do it without it. Anwyay I know im rambling.I Started this journey a year ago, and well I must admit I believed by now I would be on the other side, and living my new life. And I cant even express the sadness and anger I feel because im not there yet. My husband and I have made some radical moves to try to attain me my surgery, Up to the point of him changing jobs, to give me fighting chance. We looked through insurances programs, and found that CIGNA PPO would be a good one, To our dismay, my first attempt was denied. Recently I've been having to go through physical theraphy for back problems, and my border line diabetes is now Type2 Diabetes and Im now on medication. All the doctors ive seen always want to talk about my weight, and believe that most of my medical problems stem from that.Recently I had to go to the ER and the ER doctor, said very nicely, I dont want to offend you Mrs.Andrews, but your weight is a problem.DUH Did he think I didnt realize this.I told him that I had been fighting to get the Gastric bypass for over a year, and that my insurance that I had before had a exclusion and we had changed to one that had none, and I was still denied for No reasons actually. That YES I knew I had a PROBELM. *Sigh*,I Feel lost, I Feel Confused, I Feel hurt, and Im mad as hell. I dont ever want to give up, but have no idea how to fight anymore. Ive been calling Cigna almost every other day, and they told me it could take up to 60 days to find anything out from the appeal. I want to yell and scream and tell them to quit screwing around with me life. I know that most of you totally understand what im going through. You decide to have this surgery, you get all excited, and your life seems to be in limob waiting and hoping for that approval. And if you have ever gonna through the denail stage UGH I cant tell you want it does to your mind, your heart, and your desire to change what life you have. I know Ive rambled on, and Ive not said anything that people on here havent said before. But im at that point, where I just needed to vent some and let anyone else know that they are NOT alone in this fight. Seems so silly sometimes that we have to fight to be healthy, and yet our doctors, and family and friends, are the ones that had been continuing on us about getting "HEALTHY". So I hope that someday there will be no fight for anyone, that what will help them, will be avaliable to them. Sorry this is so long..........:o)    — Ann A. (posted on October 4, 2000)

October 3, 2000
(((Ann))) I am so sorry you are having to go through this run-around. Have you tried getting in contact with a lawyer? There's one that everyone here keeps referring but I can't remember his name. The web address is www.obesitylaw.com. Can't hurt to try. It is ridiculous the crap you have to go through just to be healthy. I hate that same old stuff about "getting healthy" and "you need to lose weight" - like I didn't already know that. I'm not in denial. Keep plugging away. A lot of insurance co's deny for no reason just hoping you'll give up. Remember - the squeaky wheel gets the grease. I can't give any other advice as I'm in the middle of waiting for initial approval/denial. Take care. You are in my thoughts and prayers.
   — Keri A.

October 13, 2000
Hey sweetie...I just wanted to give you a big ole' hug and to let you know that if you want to just talk, email me at [email protected]. I'd love to talk with you and maybe make you giggle a bit. *hugs you*
   — Angela F.

October 23, 2000
Ann, I know exactly what you're going through. I, too, have experienced the excruciating emotions that go along with insurance denial. I just changed insurance companies and I'm preparing myself for the next step in this battle. Hang in there and have faith that your appeal will work. I have you in my thoughts and prayers. If you keep having trouble, visit obesitylaw.com to see if they can help in your fight with your insurance company. Have faith---our new lives are waiting for us!
   — Gina V.

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