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I am having a melt down!



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I just spoke with my primary insurance and they are now saying it may be 30 days before I get a denial letter to give to my secondary insurance. The senondary insurance is a slam dunk, but must have his letter first. I just had to vent what in the ?#@@ is so hard about writing a letter. They should be greatful they don't have to pay! Has anyone else out there had this problem?

JP:omg:

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HUGS to you! Dealing with insurance is a true test of our wills!

Hang tough your day will come!

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I know the feeling. I KNEW my insurance would deny me and I'd be a self-pay and I was okay with that, but I HAD to go through the motions and get that denial first. It seemed like it took them forever and they were still waffling until I held their feet to the fire and asked em point blank if there was any snowball's chance they would authorize it because I didn't have the doctor sponsored program and they said no way, and I said That's all I wanted to KNOW! It would have been so easy if someone had said that early on..... Good luck and hang in there!

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Call and bother them about it every single day. Even if you have to wait a month for the leter at least you will have the satisfaction of annoying the sh*t out of them.

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Call and bother them about it every single day. Even if you have to wait a month for the leter at least you will have the satisfaction of annoying the sh*t out of them.

Yup! I second this.

Call this person back up and say this:

" I spoke to you last week and you informed me it would be 30 days until I got my denial letter. I was told by someone who has the same insurance they got their denial letter within a week.

Be Agreeable:

I understand that you probably have other insurees but I am basically waiting on my surgery as a result of this hold up. My doctor has a wait list as well. I'd like to speak to your supervisor to expedite this"

Write down the name, date, time and what was said.

Go up that chain of command! Have a fax number ready for them to fax it to you.

Trust me when I tell you that they have templates of these letters in their computer and it's a matter of adding your name and address and your doctor's name. Feel free to give them that info.

Lock them into a day when you can receive it. "So I can expect the fax by tomorrow at 3:00PM and if I don't get it something has happened and I call you back to let you know it didn't come through".

Be firm, be polite, be informed. Don't lose your cool, don't raise your voice. Don't get mad, get what you want.

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Thank everyone. I plan to call them back on Monday. I will try to be charming lol. I know 30 days is not long, but I am so nervous . I want what I want and I want it now. Wow that sounds selfish. I am going to have a frozen drink and ponder that.

JP

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    • 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.
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    • 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

        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.

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