synicalchick

I'm in Tennessee. My company excludes any and everything to do with Weight Loss.. considers it COSMETIC.. come on folks BMI is 54.... kind of past the cosmetic phase here... ANYwho. Just because your company doesn't cover it.. doesn't mean you can't appeal it and win. 7 women at my company appealed the decision last year.. and every single one of them are now 100+ pounds lighter. I had my 1st consult today, I know I will be denied up front, then I will appeal. Tracy 329 lbs BMI 54 Age 36

Hi there, How long did it take you to go from being denied to being approved? What all did you provide for the appeal? Thanks, Tracy 329 lbs BMI 54 age 36

Ok. You are the bomb. I am going in tomorrow for my 1st initial consultaion with Dr. Morton in Nashville, Tn @ Southern Hills. I have just spent the last four hours reading post and this has been great. Even though I had stuff written down, it didn't occur to me until you, PhotoNut, said.. 'Why didn't I ask the following?" Well, now ~I~ will be asking. THANKS:D Synicalchick Weight 326 Height 5'6" age 37 on 1/31

:help: Well, I'm gearing up for the fight of my life. I'm 36, will be 37 Jan 31st. for the past 15 years I've been over 200. The past 10 years I've been over 250 and the past 5 over 300. I think I need to get of this ride. I love food. I love to eat. I don't eat as much junk as one would assume a person of my size would eat, but what I do eat.. I eat a lot of. I consider myself a quantity eater... even if it's salad. I've been following this procedure for about 4 years now but my insurance at work excluded anything to do with weight loss specifically. Last year they added another company as an option. 7 other woman in the company went with the new one offered (BCBS of TN) and even thought the procedure is still excluded by the company, they went in, were denied once, fought it and won. I'm scared and nervous all at once. Of course going through my head is, what if they decide that they aren't going to accept any in '07? I am prepared to fight them tooth and nail this time. I went in for it 3 yrs ago, was denied and just cried for 3 weeks instead of fighting. In preperation for it, I have gone to a therapist and gotten a recommendation from them, I am requesting my maternal and paternal medical history, going to my doctor to get my past 5 year medical history and I've been food journaling for the 1st 9 months of 2006. My numbers are great when I have a physical ever year which means I'm going to have to fight extra hard. I have an appointment with my regular Dr. to start the process on Jan 3rd. She will have to refer me to the Lap Band Doctor I will be using. wish me luck Tracy:messenger3:

:help: Well, I'm gearing up for the fight of my life. I'm 36, will be 37 Jan 31st. for the past 15 years I've been over 200. The past 10 years I've been over 250 and the past 5 over 300. I think I need to get of this ride. I love food. I love to eat. I don't eat as much junk as one would assume a person of my size would eat, but what I do eat.. I eat a lot of. I consider myself a quantity eater... even if it's salad. I've been following this procedure for about 4 years now but my insurance at work excluded anything to do with weight loss specifically. Last year they added another company as an option. 7 other woman in the company went with the new one offered (BCBS of TN) and even thought the procedure is still excluded by the company, they went in, were denied once, fought it and won. I'm scared and nervous all at once. Of course going through my head is, what if they decide that they aren't going to accept any in '07? I am prepared to fight them tooth and nail this time. I went in for it 3 yrs ago, was denied and just cried for 3 weeks instead of fighting. In preperation for it, I have gone to a therapist and gotten a recommendation from them, I am requesting my maternal and paternal medical history, going to my doctor to get my past 5 year medical history and I've been food journaling for the 1st 9 months of 2006. My numbers are great when I have a physical ever year which means I'm going to have to fight extra hard. I have an appointment with my regular Dr. to start the process on Jan 3rd. She will have to refer me to the Lap Band Doctor I will be using. wish me luck Tracy:messenger3: