Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🌈 "1 per Day!" Bariatric Multivitamins

I can't believe this happened!

Bobbe Schu

By Bobbe Schu, in Insurance & Financing

Recommended Posts

Bobbe Schu    53

Bobbe Schu
Posted (edited)

My surgeon missed the Peer-to-Peer review to discuss my case!!!!!!!!!!!! SHE MISSED IT!!!! No one could find her -- they couldn't even find her PA. Now they can't reschedule it until May 20. I'm sooooo upset!!!!

I have a lap band which has malfunctioned, but because I have a bmi of 38.6 and no "listed" co-morbidities other than asthma, pedal edema, and a major case of GERD, the insurance company denied my initial request for revision to gastric bypass. I've had a bilateral mastectomy and kidney cancer as well within the past 3 years, along with a knee replacement. So a Peer-to-Peer was scheduled for today and SHE MISSED IT!!!!

Edited by Bobbe

Share this post

Link to post
Share on other sites

Bobbe Schu    53

Bobbe Schu
Posted (edited)

This makes me very sad because I love her so and she's one of the best!!! I'm just so totally upset right now!

Edited by Bobbe

Share this post

Link to post
Share on other sites

Inner Surfer Girl    12,015

Inner Surfer Girl
Posted

Emergencies happen all the time in healthcare. Until you know differently, it's best to assume she didn't miss it on purpose. Have faith that everything will work out in the end. May 20 isn't very far away.

Share this post

Link to post
Share on other sites

Bobbe Schu    53

Bobbe Schu
Posted (edited)

Yes, I'm in the healthcare profession. One usually lets staff know where he's going to be. But you're right. It's best not to assume anything and to just be patient.

Thanx for the advice.

Edited by Bobbe

Share this post

Link to post
Share on other sites

Daisee68    2,493

Daisee68
Posted

I'm sorry. That stinks! Emergency or no and I know that is disappointing. :(

Share this post

Link to post
Share on other sites

Bobbe Schu    53

Bobbe Schu
Posted

Yes, it stinks. I'm better today though. I'm learning patience through this whole ordeal even though I have massive GERD. Can't take anymore medication for it because what I'm taking causes bone loss -- so I'm not eating 3 hours before bed, sleeping at an angle, and taking mylanta. I'm just miserable.

Share this post

Link to post
Share on other sites

Bobbe Schu    53

Bobbe Schu
Posted

My dr missed my peer to peer as well yesterday. Now I have to weight until next Friday 9/25

Waiting is the hardest part!!! Your health continues to deteriorate while you "WAIT"! It's horrible!

Share this post

Link to post
Share on other sites

Bobbe Schu    53

Bobbe Schu
Posted

@@Bobbe Schu what happened with your peer to peer

My p2p was last May. They approved lb removal but denied revision. That's when I hired Lindstrom Obesity Advocacy. Since then, I've had another denial; currently awaiting the second; then we will request an external review whereby my case MUST be reviewed by a subject matter expert and NOT a plastic surgeon or other physician totally uneducated in bariatrics. Just more waiting! I hate UHC!!!!

Share this post

Link to post
Share on other sites

Inner Surfer Girl    12,015

Inner Surfer Girl
Posted

Thanks so much for the update. I am so sorry you still don't have this resolved. Were you able to have the band removed while you are waiting or does this hold up the band removal, too?

Share this post

Link to post
Share on other sites

Bobbe Schu    53

Bobbe Schu
Posted

Thanks so much for the update. I am so sorry you still don't have this resolved. Were you able to have the band removed while you are waiting or does this hold up the band removal, too?

The plan is to do it all at once so I don't have additional costs, more time off work and additional anesthesia.

Share this post

Link to post
Share on other sites

newmebithebypass    713

newmebithebypass
Posted

Oh no I'm so sorry I've never had an issue with uhc but this is my first and hopefully last surgery

Share this post

Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
Go To Topic Listing Insurance & Financing

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Clueless_girl

      Clueless_girl

      Losing my hair in clumps and still dealing with "stomach" issues from gallbladder removal surgery. On the positive side I'm doing better about meeting protein and water goals and taking my vitamins, so yay? 🤷‍♀️
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      · 0 replies
      1. This update has no replies.
    • Mr.Kantos

      Mr.Kantos

      Just signed up. Feeling optimistic.
      · 0 replies
      1. This update has no replies.
    • Frugal

      Frugal

      Welcome to Frugal Testing, where we are committed to revolutionizing the software testing landscape with our efficient and affordable solutions. As a pioneering company in this field, we understand the challenges faced by startups, small to medium-sized businesses and any organization working without budget constraints. Our mission is to deliver top-notch testing services that ensure the highest quality of software, all while keeping your costs in check.
      Frugal Testing offers a comprehensive suite of testing services tailored to meet diverse needs. Specializing in different types of testing including functional testing, automation testing, metaverse testing and D365 testing, we cover all bases to guarantee thorough software quality assurance. Our approach is not just about identifying bugs; it's about ensuring a seamless and superior user experience.
      Innovation is at the heart of what we do. By integrating the latest tools and technologies, many of which are cutting-edge open source solutions, we stay ahead in delivering efficient and effective testing services. This approach allows us to provide exceptional quality testing without the high costs typically associated with advanced testing methodologies.
      Understanding each client's unique needs is fundamental to our service delivery. At Frugal Testing, the focus is on creating customized testing strategies that align with specific business goals and budget requirements. This client-centric approach ensures that every testing solution is not only effective but also fully aligned with the client's objectives.
      Our team is our greatest asset. Composed of skilled professionals who are experts in the latest testing techniques and technologies, they bring dedication, expertise and a commitment to excellence in every project. This expertise ensures that our client’s software not only meets but often exceeds the highest standards of quality and performance.
      Frugal Testing is more than just a service provider; we are a partner in your success. With a blend of quality, innovation and cost-effectiveness, we are here to help you navigate the complexities of software testing, ensuring your product stands out in today's competitive market. 
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      ChunkCat

      I have no clue where to upload this, so I'll put it here. This is pre-op vs the morning of my 6 month appointment! In office I weight 232, that's 88 lbs down since my highest weight, 75 lbs since my surgery weight! I can't believe this jacket fit... I am smaller now than the last time I was this size which the surgeon found really amusing. He's happy with where I am in my weight loss and estimates I'll be around 200 lbs by my 1 year anniversary! My lowest weight as an adult is 195, so that's pretty damn exciting to think I'll be near that at a year. Everything from there will be unknown territory!!

      · 3 replies
      1. AmberFL

        AmberFL

        You look amazing!!! 😻 you have been killing it!

      2. NickelChip

        NickelChip

        Congratulations! You're making excellent progress and looking amazing!

      3. BabySpoons

        BabySpoons

        So proud of you Cat. Getting into those smaller size clothes is half the fun isn't it?. Keep up the good work!!!!

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×