Just Found Out My Insurance Changes 2013

[Tstorm1070 192]

Now they are saying its just a covered service. But it was ok before. I don't know what the heck they are doing there. GRRR

***its not a covered surgery

[Tstorm1070 192]

Doesn't look like I will part of the family ; '( so sad, disappointed, and angry.

[rybecca20 160]

Doesn't look like I will part of the family ; '( so sad' date=' disappointed, and angry.[/quote']

I'm so sorry can u do the bypass?

[Tstorm1070 192]

Yeah I can but I do not want to go that route. My other primary(rheumatoid and primary) drs told me not to have that done. So my only other choice is lap band. I dont think that gives me enough help. I dont know...I'm so torn. I will be appealing for sure and see where it goes and possibly contacting a lawyer since they previously said It was an approved service.

[rybecca20 160]

Yeah I can but I do not want to go that route. My other primary(rheumatoid and primary) drs told me not to have that done. So my only other choice is lap band. I dont think that gives me enough help. I dont know...I'm so torn. I will be appealing for sure and see where it goes and possibly contacting a lawyer since they previously said It was an approved service.

I'm glad to hear u haven't given up!!

[Tstorm1070 192]

Thanks

[Sadlers1999 169]

Just found out my insurance is changing 2013. And now WLS will not be covered at all!!! And my surgery was going to happen Jan/Feb. I sure hope I can have this WLS still since I started earlier this year 2012. Keeping my fingers and toes crossed. I will call my case manager at the insurance company on Monday. #stressing

This exactly why I did the WLS yesterday. Part of me would have preferred waiting longer, but our new insurance would not cover it in 2013

[Tstorm1070 192]

Yeah I wish I had that option.

My complex case manager called me today and said my bypass was covered and I waa ready to go. I said uhhhh no I am not doing that.

So I told her how PISSED off I am and that I would take other measures. She asked me what those were and I said I am contacting our state dept of insurance to file a formal complaint against them and if needed I would be hiring a lawyer!

She was like...ohhhh dont do that! She said dont do anything until I can talk to my manager. She has until Friday and next Thursday I file the complaint. I REFUSE to take no for an answer. I'm very determined ..especially since it was their mistake. We will see how it goes

[Tstorm1070 192]

Ok......so after threatning them to Dept of Insurance they have FINALLY put in approval for the sleeve!!!! About time! Now just waiting for a surgery date!!!!

So excited

**thanks for listening (:**

[Tstorm1070 192]

I got my date yesterday!!!!! Feb 14th (which is also my husbands birthday)

Everything is a go. I asked them what happened and they said they changed the verbiage in my policy? So I think what happened was they just added it as they knew they messed up. Either way I am good with it. I also requested a copy of the new verbiage so I can show this to my "lawyer". My lawyer is a friend who is a paralegal who her boss/friend is a lawyer. I just want them to look it over for any hidden issues. Ins coordinator assures me there is not anything to worry about. Hmmmm no thanks give me a copy (:

[JerseyGirl68 1,172]

I got my date yesterday!!!!! Feb 14th (which is also my husbands birthday)

Everything is a go. I asked them what happened and they said they changed the verbiage in my policy? So I think what happened was they just added it as they knew they messed up. Either way I am good with it. I also requested a copy of the new verbiage so I can show this to my "lawyer". My lawyer is a friend who is a paralegal who her boss/friend is a lawyer. I just want them to look it over for any hidden issues. Ins coordinator assures me there is not anything to worry about. Hmmmm no thanks give me a copy (:

Good for you for fighting!! Congratulations on getting your date!

[Huntingnurse 510]

Congrats. Thats a crazy story but glad it worked out!