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Just Found Out My Insurance Changes 2013

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

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

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?

  • Author

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.

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!!

  • Author

Thanks :)

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

  • Author

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

  • Author

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 (:**

  • 2 weeks later...
  • Author

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 (:

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!

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

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