Skip to content
View in the app

A better way to browse. Learn more.

BariatricPal

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
  • Appearance

Join BariatricPal free

  • Ask your own questions
  • Reply and follow topics
  • Message other members
  • No cost, no spam

Reached My Breaking Point

Appeal was denied because I don't meet the minimum requirements. Uh duh if I met the minimum requirements there wouldn't be an appeal needed. So did they even look at the letters of medical necessity? Or the diagnosis of sleep apnea? Or did they say nope not fat enough long enough? Why file an appeal if they are just going to say here is our cookie cutter and you don't fit. So you can continue to have your health decline.

Can't self pay because extra money is going to home repairs nd wedding. With my ms I'm wondering if I need to put myself through this much stress. As I type this through tears I'm thinking of just giving up.

  • Replies 19
  • Views 1.8k
  • Created
  • Last Reply

Top Posters In This Topic

Most Popular Posts

  • It is a hard process! I was denied the first time... then was given many different options by the coordinator. If I would have been denied the second time they would have done a peer to peer. Another

Featured Replies

  • Author

My fibro isn't crazy to the point of disabling. But the fatigue from fibro and ms with apnea gets me pretty bad. Pain is kind of manageable but there are days I want to lay in bed. Though that doesn't help at all because it just makes the stiffness that much worse. Hope the meds help me.

I am dealing with this because I have not been at a BMI of 40+ for over five years. Thing is I was diagnosed with ms 9 years ago and I was trying so hard to keep weight off. My BMI has been above 30 for 4 of the 9 and 35 for 5. But they say I don't meet the minimum requirements. So I have to go through the appeals and get denied. Peer to peer already took place. Once I exhaust appeals I can go to my employer to plea for an exception. I think I have someone on my side in hr. So just keep fighting. Though I'm sure I may have more defeated moments... :-(

My fibro isn't crazy to the point of disabling. But the fatigue from fibro and ms with apnea gets me pretty bad. Pain is kind of manageable but there are days I want to lay in bed. Though that doesn't help at all because it just makes the stiffness that much worse. Hope the meds help me.

I am dealing with this because I have not been at a BMI of 40+ for over five years. Thing is I was diagnosed with ms 9 years ago and I was trying so hard to keep weight off. My BMI has been above 30 for 4 of the 9 and 35 for 5. But they say I don't meet the minimum requirements. So I have to go through the appeals and get denied. Peer to peer already took place. Once I exhaust appeals I can go to my employer to plea for an exception. I think I have someone on my side in hr. So just keep fighting. Though I'm sure I may have more defeated moments... :-(

The exhaustion from fibro alone is bad, I can't imagine that with apnea :/ my ex's mother has ms and fibro and lyrics works wonder for her. She gained a little weight but it was worth it for her. What meds did they give you? I've heard good things about Cymbalta, and Nucynta was to be my miracle drug, but I was in the tiny percentage that had CNS depression.

Keep fighting! We're here for you. I know it's exhausting being the squeaky wheel but it's so worth it in the end, I'm sure this is no exception

  • Author

I'm on Gilenya for the ms. Also on Zoloft for the ms. Adding meloxicam to get through until surgery. Then after neurologist, surgeon, and PCP will decide a treatment that will be safe and effective...

I thought the pain was ms and I had to live with it. If I wasn't having all these tests for the surgery then probably would have just kept thinking it was ms and try to deal...

I'm on Gilenya for the ms. Also on Zoloft for the ms. Adding meloxicam to get through until surgery. Then after neurologist' date=' surgeon, and PCP will decide a treatment that will be safe and effective...

I thought the pain was ms and I had to live with it. If I wasn't having all these tests for the surgery then probably would have just kept thinking it was ms and try to deal...[/quote']

They tested me for EVERYTHING to figure out what was wrong. I was poked and prodded for months and then all it took to disgnose it was a pressure on some body parts?! Ugh.

Yoga helps :)

Join the conversation

You can post as a guest; create a free account to track replies, follow topics, and be part of the largest weight loss surgery community.

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.