LilySlim Weight loss tickers

Thursday, January 6, 2011


My PA called while I was on my way to the gym.

I got denied.  The insurance company denied me.  WTF.  My starting BMI was 38.1.  I have high cholesterol and high blood pressure.  Or I did.  Then I lost 25 pounds.  I was on medications but I'm good now.  But the doc who reviewed my case felt my co-morbidities were not "all that serious."


I am so pissed.

I parked my car and cried for a minute.  Walked into the gym and ran on the elliptical for 45 minutes and wiped a way a stray tear every now and then.

Shopped at Trader Joe's afterward.

Came home.

Bawled my eyes out.

Tomorrow:  The appeals process will begin.


  1. im so sorry hun, hang in there. I hope your appeal does the trick. I don't understand how insurance companies decide these things. I hope tomorrow is a better day for you.

  2. I am so sorry to hear this. don't give up. and don't give up at the gym either. and don't disappear from blogs either! we are here for you! (((hugs)))

  3. I'm so sorry this happened!!! Good job for you to go to the gym and work off some of that mad/frustration! I'm confident you will be successful through the appeals proceess, though there's no doubt it's awful that you have to do that in the first place!

  4. This is just a minor setback. You will find a way through the appeals process. I was so frustrated when I initially looked into covering b/c my company didn't cover bariatric surgery for anyone. But unlike you I just gave up - and then a year later I realized I needed it and had to do self-pay. It is tough financially but worth it to have my life back.

  5. I'm so sorry. I too was self-pay but if you can get through an appeal with the insurance that will be great. Crossing my fingers.

  6. I would try everything possible to get approved. Maybe your surgeon can "doctor" your co- morbidities a little. You must be so crushed. I am very sorry. But, do go to the gym and do keep blogging!

  7. I am so sorry. Please don't let this discourage you. I think you can really prove your case with your commodities. Good luck and keep us posted.

  8. Did you contact your WLS MD? They are good with supporting appeals and understand different insurance company requirements.

    Good Luck...I'm sorry you were discouraged today.

  9. I am so sorry to hear that you were denied.. Don't give up the fight though! We are ALL behind you, supporting you and cheering you on... The the WLS center and see what they can do.

  10. Do not give up!
    Policies are a-changing.
    Start a little history of weight gain to appeal with.
    Perhaps find a new doctor. YOu are not the first to have this problem and most people I have read get approved.. Stay positive! And I am sorry. I know you must feel defeated. But like the others said we are all behind you!

  11. Don't give up!

    Good luck with your appeal!

  12. Don't give up, I was denied the first time. It was a mistake.


  13. I'm sorry! How frustrating for you! You are doing so well with the gym and losing. You may just have to take a detour to your goal. Don't give up!