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Being denied......

LivingForGod

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LivingForGod    111

LivingForGod
Posted

Hello all. Im just wondering was anyone denied and did an appeal and approved??? What were you denied for?? How did you win your appeal?? Who was your insurance company?? PLEASE COMMENT!!!!!!

GOD BLESS!!

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cbwalker79    187

cbwalker79
Posted

Hey Living for God. I was denied with BCBS Fed because the provider exhausted all of appeals. I had unlimited appeals so I wrote a letter to my insurance company with all of the information and I was approved within a week. Don't ever give up because you have rights! Keep fighting and hang in there. Today is my surgery date

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LivingForGod    111

LivingForGod
Posted

Hey Living for God. I was denied with BCBS Fed because the provider exhausted all of appeals. I had unlimited appeals so I wrote a letter to my insurance company with all of the information and I was approved within a week. Don't ever give up because you have rights! Keep fighting and hang in there. Today is my surgery date

Thank you! Im not giving up. Im sending all my paperwork in today for my appeal. I hope everything goes good with your surgery! Keep me posted!!!

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1Day1Life4Now    882

1Day1Life4Now
Posted

Hey Living for God. I was denied with BCBS Fed because the provider exhausted all of appeals. I had unlimited appeals so I wrote a letter to my insurance company with all of the information and I was approved within a week. Don't ever give up because you have rights! Keep fighting and hang in there. Today is my surgery date

Hi CB I also have fed BCBS. I'm still waiting on approval. Did they give you any reasons for the initial denials? What was the difference in what you submitted for your appeal and what the doctor submitted? I am concerned that they won't approve mine and I've been waiting for the last 3 months.

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cbwalker79    187

cbwalker79
Posted

First appeal was denied due to missing information (proof of failed diets and nutritional evaluation was negative) 2nd appeal customer service representative said they didn't receive psychological info . Waisted an appeal re sending that document. Then my provider scheduled peer to peer review with medical director and they explained that I was missing the information and to resubmit. However when provider resubmitted BCBS Fed said all appeals had been exhausted and BCBS Fed and they never looked at new information. I wrote the appeal letter and was approved within a week

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Beach Lover    1,084

Beach Lover
Posted

Good for you!!! You are going to really love your sleeve and new life! :)

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LivingForGod    111

LivingForGod
Posted

Good for you!!! You are going to really love your sleeve and new life! :)

Thank you so much!! Im soo happy right now!

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cbwalker79    187

cbwalker79
Posted

congratulations i know you gotta be on cloud 9

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LivingForGod    111

LivingForGod
Posted

congratulations i know you gotta be on cloud 9

YES I AM. I'VE CALMED DOWN A LITTLE. BUT WHEN THE LADY FROM MY INSURANCE EMAILED ME THE LETTER I WAS LIKE...REALLY????

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
    • KimBaxleyWilson

      KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.

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