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Still waiting...

Well it's been 17 days since my stuff was mailed into insurance and I haven't heard anything yet. I'm counting weekends...so I guess they actually received it on monday July 31st...two weeks ago yesterday. I want to call them and find out the status of it but I don't want to do anything that might jeopardize this either, because there is no way in hell that I could ever self pay and I want this so badly. My husband, who is so absolutely wonderful and loving said last night "hon...I worry about you if they end up denying it...are you gonna be ok?" I really hadn't considered this as a real possibility before, since I meet and exceed every requirement they need. But in the back of my mind is always the cancer history and them really thinking that I'm not a good long term risk to invest their money in. I wonder if they can do that for real? I mean I know it's all about money for the insurance companies, like the risk to benefit ratio is not the same thought process for them as a company as it is for me as a patient. They are thinking would it save us money in the long run to provide this care for this person or are the odds against this person living long enough to justify spending this money for this surgery that would normally be worth it since it would prevent us from having to pay for diabetes, heart failure, joint replacement, and any other obesity related malady. But in this case, the odds are against the patient living long enough to cost us the money to pay for those things and this procedure is not gonna reduce the risk of cancer reoccurring so why do it?

 

This is the kind of crazy shit that goes through my head. Cynical, Skeptical, Untrusting, Paranoid, YES I am all of these things when it comes to insurance....why? Because I've been there, done it all.

 

It's not that I expect to die from cancer any time soon but, I am kinda scared about it, since my luck hasn't been very good in life and after the metastisis to my lung in Feb of 05 they gave me a 70% chance of surviving 5 years. That is scarry shit man! I mean, does that mean that the odds get worse for say a ten year survival rate? Like, does that mean I have a 35% chance of living for ten years or something? I mean, I'm friggin 42 years old! I don't know....I just get scared sometimes. Not very often, only if I really think about stuff. Usually I am my "normal" self and I use the word normal loosely, believe me! Ok I am done for now gotta go to work.

peace out.....:hippie:

3 Comments

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chameleon

LAP-BAND Patients

Well it's been 17 days since my stuff was mailed into insurance and I haven't heard anything yet. I'm counting weekends...so I guess they actually received it on monday July 31st...two weeks ago yesterday. I want to call them and find out the status of it but I don't want to do anything that might jeopardize this either, because there is no way in hell that I could ever self pay and I want this so badly. My husband, who is so absolutely wonderful and loving said last night "hon...I worry about you if they end up denying it...are you gonna be ok?" I really hadn't considered this as a real possibility before, since I meet and exceed every requirement they need. But in the back of my mind is always the cancer history and them really thinking that I'm not a good long term risk to invest their money in. I wonder if they can do that for real? I mean I know it's all about money for the insurance companies, like the risk to benefit ratio is not the same thought process for them as a company as it is for me as a patient. They are thinking would it save us money in the long run to provide this care for this person or are the odds against this person living long enough to justify spending this money for this surgery that would normally be worth it since it would prevent us from having to pay for diabetes, heart failure, joint replacement, and any other obesity related malady. But in this case, the odds are against the patient living long enough to cost us the money to pay for those things and this procedure is not gonna reduce the risk of cancer reoccurring so why do it?

This is the kind of crazy shit that goes through my head. Cynical, Skeptical, Untrusting, Paranoid, YES I am all of these things when it comes to insurance....why? Because I've been there, done it all.

It's not that I expect to die from cancer any time soon but, I am kinda scared about it, since my luck hasn't been very good in life and after the metastisis to my lung in Feb of 05 they gave me a 70% chance of surviving 5 years. That is scarry shit man! I mean, does that mean that the odds get worse for say a ten year survival rate? Like, does that mean I have a 35% chance of living for ten years or something? I mean, I'm friggin 42 years old! I don't know....I just get scared sometimes. Not very often, only if I really think about stuff. Usually I am my "normal" self and I use the word normal loosely, believe me! Ok I am done for now gotta go to work.

peace out.....:hippie:

Guest MoOrLess

Guest MoOrLess

Guests

HUGS to you! I can't imagine going through what you have encountered and yes you are YOUNG - positive thinking - keep smiling and hang in there - insurance companies do stink! I agree totally - take one day at a time and know that soon you'll get an answer from the insurance company -you can ALWAYS argue the point and re-submit too - don't forget that!

MLissa

LAP-BAND Patients

I called the insurance company a couple times (twice for my approval and once for my husbands) and they were happy to tell me my status. I just had to wait for the letter to come in before they would schedule us. It was only another day or two after the verbal confirmation. Good luk!

Guest
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