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Fight, fight, fight and fight

Back story, sleeved in 2014. Everything went fine and lost 70 pounds. Starting having heartburn not bad. By year 5 severe GERD, gastritis, and medium hernia

Daily pain w/o meds. Insurance will not help. I have hope. However nothing is done until it is done. I understand clearly the medical community primarily does not view obesity as a disease. They are wrong.

It's sad seeing how I pay for my health insurance to keep me well.

  • Replies 47
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  • SeattleLady
    SeattleLady

    I am approved. Waiting on a date!

  • GreenTealael
    GreenTealael

    Go back to your surgeon and ask them to test THOROUGHLY then submit it under revision for DOCUMENTED GERD (medically necessary) Good Luck ?

  • SeattleLady
    SeattleLady

    Been there did that ?! The insurance company admitted that it is a needed procedure and not part of my coverage. I am working towards some type of resolution. Fight. Fight and fight. Currently, I am

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I was just watching a YouTube who had done a lot of research and she found a website where they fight for the revisions and surgeries to be approved after they are denied. They work and get you approved. Might be something to look into. The website is www.wlsappeals.com and it is called Lindstrom Obesity Advocacy.

Change insurers if you can and tell them you will do it

6 hours ago, SeattleLady said:

Thank you all so much. There is a planned meeting/appeal/review in 2 weeks. I am fighting for my health.

Onr small word of advice if you are to attend the planned meeting :

Fight smart not emotionally. Insurers are inoculated against cries (they often deny life saving treatments, yours is nothing in comparison)

Present clear precise evidence-based materials especially details about timelines/ projected length of illness, known complications and expenses associated with further half step treatment

Otherwise your physician may do this for you

Good Luck good vibes your way ?

  • Author
Onr small word of advice if you are to attend the planned meeting :
Fight smart not emotionally. Insurers are inoculated against cries (they often deny life saving treatments, yours is nothing in comparison)
Present clear precise evidence-based materials especially details about timelines/ projected length of illness, known complications and expenses associated with further half step treatment
Otherwise your physician may do this for you
Good Luck good vibes your way [emoji171]
Thanks, I am working on gathering the information and planning my attack. I am not an overly emotional type person. I fight with facts. I work the system. I am just tried of being in pain. Mexico or selfpay is not an option. I have been through life or death surgeries. I never given up. This is not only important to me; it effects my family.
1 hour ago, SeattleLady said:

Thanks, I am working on gathering the information and planning my attack. I am not an overly emotional type person. I fight with facts. I work the system. I am just tried of being in pain. Mexico or selfpay is not an option. I have been through life or death surgeries. I never given up. This is not only important to me; it effects my family.

Keep your eyes on the goal and adjust it if you need to

Good Luck

  • 2 weeks later...

What awesome news!

  • Author

It will 6 take months so March 2020. I don't know how to feel. I don't have a weight lost goal. However, I have to see everyone like the nutritionalist/doctor, Bloodwork and EKG. I don't know whether to be happy or mad. I want to get off the rollercoaster. So I am[emoji12][emoji13]

That is very odd for a medically necessary revision due to GERD.

Did the insurance company even read your history?

Maybe surgeon can fight the six month wait?

  • Author
That is very odd for a medically necessary revision due to GERD.

Did the insurance company even read your history?

Maybe surgeon can fight the six month wait?
We will see. The hardest part? I plan to start graduate school in Jan. Wow 2020 will be a year of transformation.
1 hour ago, SeattleLady said:

We will see. The hardest part? I plan to start graduate school in Jan. Wow 2020 will be a year of transformation.

I do not suggest doing this while in Grad school

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