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What Keeps You Going?

For those of you still pre-op and going through the process of many Dr. appointments or a 6 month supervised diet, what keeps you going knowing insurance COULD deny you? My sister asked me this question, and I'm curious now. This is such a possibility that insurance could say no even after our long jouneys...so what keeps you going and hopeful?

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Knowing that if I stop going they WILL deny me. But if I keep going there is a very good possibility they will approve me. If I stopped I would be giving uo on myself. If they deny, I'm a fighter....I will appeal.

Hope....hoping they will approve. :)

Knowing that if I stop going they WILL deny me. But if I keep going there is a very good possibility they will approve me. If I stopped I would be giving uo on myself. If they deny, I'm a fighter....I will appeal.

I agree. It's not worth stopping if you want it that bad. And there are a bunch of sites online that will help you write an appeal letter. It's totally worth it!

Well I've been in the process of going for surgery for 10 months now and I will finally be having surgery Friday August 3rd and I start my 2 week pre-op diet tomorrow. What kept me going was my beautiful 4 1/2 year old daughter, 10 1/2 year old step daughter and my husband :) knowing that after surgery I'll be a healthier mother, step mother and wife has kept me going. There's always a possibility of ur insurance to deny u but just knowing that I tried ur best is all u can do. Took me 3 weeks to get approved by my insurance. I'm now just nervous about surgery lol Thats the part that I'm struggling with now

  • Author

I think it's all about hope! As I type this, I'm at my sleep study (kill me). Lol

The hope that there is a new life out there for me. My current insurance does not cover WLS. But I know without it I will die. So I am in my third month of my 6 month work with the nutritionist. I am hoping to get new insurance at the end of the year that will cover WLS. I plan to do all the prep work that I can so that if and when I get insurance I will be ready to try and get approved. I can only hope!

  • 4 months later...

One hopeful thing is that there was a study out recently that showed that the benefits of Rny- like the resolution of diabetic issues- make it cost effective to approve this surgery. It's cheaper have a surgery that might put a person's diabetes in remission, that to treat diabetes even for just a few years.

  • Author

Oh wow I forgot I posted this! I'm now done with everything and submitting to insurance next week :) I guess it's all about patience.

  • 2 weeks later...

Great to hear that you're done jumping through all the hoops. I keep going back to the fact that medically, I meet all the requirements, so if they don't approve it means there is something else wrong, rather than me not meeting their standards. I'm trying to keep out of the "there's something wrong with me" mentality and putting it back on the insurance company.

Good luck!

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