I have Kaiser insurance and I was just turned down today. They said I needed to be 5 years out from breast cancer. I am only 2.5 years out. 2.5 years I'll be fatter and less healthy by then. Right now I have a greater chance of going full blown into diabetes or having a heart attack than I am of having a BC reocurrence. My chances of BC reocurrence are only 4%. Any pointers on how to get around this? Very sad.

I would go in and meet with the specialists. Where is your A1c count at and can it be determined as diabetes? Have you had a sleep apnea test yet? Look for other comorbities that can get you qualified....... work the system......there is also great docs in Mexico that are reasonable and give A1 care to their patients..... :ph34r:

Thank you, I have enlisted my ONC and my plastic surgeon as well. I didn't need to be cancer free for 5 years before I had breast reconstruction, now I can't finish reconstruction because I am to fat! This is a cruel joke. I will keep trying.

Well, I have no suggestions other than to appeal but want to say that that royally sucks! What difference does it make how far along post cancer you are? Is your life somehow not worth as much as someone who get unlucky 2.5 years before you? Sometimes insurance "rules" just blow chunks!

Have you though about self pay? There are threads here that talk about Mexican doctors that do a great job.

Kaiser seems to be very uncooperative. You hear negative stuff about them all the time.