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Can anyone help me with my appeal for UCH????



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:thumbup: I SWEAR I AM ABOUT TO PULL MY hair OUT....FIRST MY DOCTORS OFFICE MESSED UP ON MY FIRST REQUEST....THEY TRIED TO SEND IT AGAIN....BUT FOR TWO WEEKS MY UHC INSURANCE KEPT TELLING MY THE SECOND REQUEST WAS STILL PENDING STILL PENDING AND STILL PENDING....WELL TODAY THEY THAT CAUSE THE FIRST ONE WAS DENIED THAT THIS SECOND REQUEST WAS CANCELLED AND I HAVE TO START AND APPEAL....:blink:AND I WAS LIKE WHAT:scared2::cursing:FOR TWO WEEKS I BEEN CALLING AND YOU COULD HAVE TOLD ME TO START AN APPEAL BUT YOU NOW TELL ME TO START IT WHEN IT COULD HAVE BEEN DONE ALREADY!!!! SO THIS IS WHERE I NEED SOME HELP....IF ANYONE HAS HAD THE RUN-AROUND WITH UHC AND HAD TO DO AN APPEAL....CAN SOMEONE PLEASE AND HELP ME OUT BY SENDING ME A COPY OF THE APPEAL LETTER YOU SENT IN THAT GOT YOU APPROVED BY UHC....JUST TO GIVE ME AN IDEA WHERE TO START....MY EMAIL IS EXPLICITPELON@AOL.COM :tongue: THANK YOU THANK YOU THANK YOU AND HOPEFULLY SOON I CAN BECOME ONE OF YOU FELLOW BANDSTERS....

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take a deep breath and then reapply... I know this is hard but don't call them constantly just find out what their policy is and try to adhere to it. If it makes you feel any better, I had to apply 3 times before getting approved the 4th time...

Good luck

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Well over two weeks (04/2/08) ago I went to my PCP and got the referrel to the Dr. Givens. I went to the Seminar on Monday (05/05/08) and also got lucky and had my first consult with them also that afternoon. While I was sitting in the office I got the bad new, my insurance wont cover anything dealing with weight loss surgery. So now I have to appeal to the insurance to prove this is a medical need and not to just look good but for my health. I'm also needing to send a letter to our senator of SC and to the governor of SC. The state of SC has it where the insurance wont pay for this wonderful surgery. I have BlueChoice of South Carolina. If anyone has them or can help me in getting them to approve this surgery I would appricate it. You can email me on here or at rebechuds@aol.com . I want to be here for my children to see them grow up and be healthy for the rest of my life. I have for the last month cut back alot in what I eat and have lost 6 pounds but I'm hungry all the time to. HELP HELP!!!!!

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I don't know if this would help but would you like a copy of my appeal letter? maybe you can use it as a guide as to what to write?

e-mail me at aquilinodeb@aol.com and I will send you a copy. I'll omit my personal information and you can fill in your own information. It worked for me.

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Before you appeal, you need to find out why you were denied. Then you can gear your appeal towards that. Like if you denied you because of missing info in your paperwork, you can supply the missing info. If they denied you because you don't have enough co-morbidities, you can take some more tests to see if you have ones that weren't discovered the first time. Etc.

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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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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.

    • CaseyP1011

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