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Denied

I am so discouraged. My surgery was denied. It's scheduled for a week tomorrow. (Dec 17) I am hoping the doctors office some how gets this approved but I am so upset. I've already a week into my liquid diet and down 12 lbs and 7 inches and all I want in my life is to continue this path and I'm going to be so devastated if if doesn't get approved. I need to have surgery before Jan 1st because my out of pocket is met so there will be no money out of pocket for me. I can't afford it next year my OOP is 3750 and I'm getting married in October. I just don't have the money. I'm so heartbroken. Sorry for the complaining. I just needed to vent to people who understand.

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  • Thanks for the support everyone ❤️❤️❤️it finally got approved yesterday so my surgery is on Thursday and I am so excited to start this new journey !!!!

  • HopeandAgony
    HopeandAgony

    Normally I don't engage in conflicting opinions because everyone has their own but felt I needed to share the other side of yours. In today's economy there are many people who live pay check to pay ch

  • I am quite aware people go to mexico every year to get this surgery done. And that surgery still costs more than my OOP. There are many sides to things and you don't know my whole life story. So to in

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Thanks for the support everyone ❤️❤️❤️it finally got approved yesterday so my surgery is on Thursday and I am so excited to start this new journey !!!!

I am so very happy for you.

After reading all that you have been through this year with your cervical fusion I just want to wish you well and all the best in your upcoming surgery.

Congrats to you! Good luck and health.

  • Author

Thank you so much everyone !!! I should be hearing in the next few hours what time my surgery is tomorrow!! I will let everyone know how it went once it's over with !!

@@Susan66 . Thank you it's been a rough year with all of my neck issues but I'm finally recovering from that and I can finally start my journey on being healthy !!!

Congrats !! Best of luck xo

I just read through your post/thread and am so happy you got approved. I'm waiting on my approval. My surgery date is the 6th of January and am getting married in October as well. Fingers crossed I get that approval too. Good luck tomorrow!!

  • Author

I just read through your post/thread and am so happy you got approved. I'm waiting on my approval. My surgery date is the 6th of January and am getting married in October as well. Fingers crossed I get that approval too. Good luck tomorrow!!

Good luck on everything and congrats on the wedding !!! Let me know when you get the approval !!

OH thank God it was resolved in time!

And just as an aside to the person criticizing and advocating self-pay -- if she HAS insurance, Bariatric surgery is a covered benefit, and she and her employer are paying in weekly on premiums, why shouldn't she expect to use that insurance and be upset that she was denied due to someone's dropping the ball on a technicality at the last minute?

I'd be hysterical!

And, we have been there. We had horrible (catastrophic) insurance the past two years; make too much to get help, don't make enough with two toddlers and bills to do anything but survive, and had to pay OOP thousands in medical gear for our daughter.

Yes, you can want it bad and self-pay -- if you have someone to watch your kids, run your household, and fill in for your missing income. Any discretionary income we have goes on helping our daughter. We're on the back-burner until she's taken care of.

Not everyone is in a position to do what you are advocating, and it doesn't mean they don't want it bad enough.

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