Dlw622

I started out at the Mayo Clinic because I live in Rochester, but Medica informed me that Mayo Clinic is out of network. So they gave me a list of places that were in network and the one that worked the best for me was Gunderson Health Systems in Onalaska. They were so nice and helpful and they accepted the nutrition things that I had done at Mayo. I completed all the necessary requirements and the Gunderson Health System was going to submit my request today, but the insurance company apologized, but the customer service rep that I spoke to prior to going to Gunderson told me the wrong information so they will not pay for my surgery. I spoke the bariatric program manager at Gunderson and she looked back at the notes and she has a note from the business office that they spoke to a specific person at Medica who pre-certified my surgery but Medica said it doesn't matter, even though it was pre certified, they still won't cover the surgery because they are out of network. The did say they will cover all the appointment that I had with dietitians, psych and the surgeon. grrrrrrr!! I posted this as a reply because I couldn't figure out how to post a new topic. Sorry about that.

I can't figure out how to post something so I am replying to this message - this is just a message of frustration I started out at the Mayo Clinic because I live in Rochester, but Medica informed me that Mayo Clinic is out of network. So they gave me a list of places that were in network and the one that worked the best for me was Gunderson Health Systems in Onalaska. They were so nice and helpful and they accepted the nutrition things that I had done at Mayo. I completed all the necessary requirements and the Gunderson Health System was going to submit my request today, but the insurance company apologized, but the customer service rep that I spoke to prior to going to Gunderson told me the wrong information so they will not pay for my surgery. I spoke the bariatric program manager at Gunderson and she looked back at the notes and she has a note from the business office that they spoke to a specific person at Medica who pre-certified my surgery but Medica said it doesn't matter, even though it was pre certified, they still won't cover the surgery because they are out of network. The did say they will cover all the appointment that I had with dietitians, psych and the surgeon. grrrrrrr!! PS - If someone can tell me how to start a new post - please let me know. I went somewhere where it let me post but when I tried to send it they wanted me to enter recipients???

Dear JCassel, Congratulations - - you made it to the parking lot! Good for you. I can totally relate to the sounds of people making fun of me, talking and joking about my weight. I still struggle and have just started the process of having a sleeve done because it is now all about health for me. All I can say is that you are giving the small-minded, mean, hateful people who say and do those cruel things, way too much power. Don't let them prevent you from achieving your goals. I have found from past experience, that the staff at the health club's are very helpful and encouraging. The people who are at the health clubs fall in three categories, those who are so pre-occupied with their own routine that they won't notice you are there, people like you and me that struggle with our weight (maybe there are some people there who just lost some weight and then there are a few people there who will be so small minded that they may say think something but those people don't matter. I don't know that you will ever forget the "bullies" in our present and past, but if we stay in the "parking lot" they win and we lose! Sitting next to you in the car - in the parking lot - Your cheerleader DLW622.