So so sad.
I just spent another hour of my life on the phone with the insurance company. Calling about my appeal. Spent the first 15 minutes on hold. My heart was racing.
The lady came back on the line and said I was denied. She read excerpts of the letter I will be getting in the mail. Basically, since my BMI fell below 35 while on the six month diet as REQUIRED by insurance, they are telling me to "stick with it."
WTF!! Before I even started the "diet," my bariatric office sent me a letter stating I'd be required to lose 1-3% of my body weight PER MONTH basically to PROVE myself a worthy candidate in the insurance company's eyes. I did that---and that's why they are denying me. WTF?!?!?! I went from 215 on their scale to currently 176 on mine. Well WHATEVER. It's not over. The next level of review is a panel of people to hear my case. Oh and get this!!! The panel is just a random bunch they round up! They aren't doctors. They just round up members of the insurance plan to make the decision. This might work in my favor. But what the heck?!
In the meantime, it won't ruin my weekend. :)
But I have a little song to dedicate to my insurance company. I think you'll like it. If the F*** word bothers you though---don't click. :) This song cracks me up.
That does suck, but I would like to say that you have done a tremendous job on your own and that you rock the jeans in the previous post.
ReplyDeleteThat really does suck! I despise healthcare. I wish they'd pay for me to go to Weight Watchers or get Medifast...or Nutrisystem. They make me SO angry!
ReplyDeleteChin up, babes. I'm very sorry...but keep your chin up.
*hugs*
I'm sorry to hear this. I hope you get some good news soon. (And I LOVE that song! I sing it all the time.)
ReplyDeleteSo sorry, hon. I was nervous about that too, but the insurance looked at my starting BMI. I hope you can work it all out!
ReplyDeleteGood god, this has been one stupid shit thing after another for you!! It makes no sense, and I truly believe it will be resolved positively one of these days - I'm so sorry you are going through all this, but you are doing so great on your own!!!
ReplyDeleteThis makes no sense. I can't understand for the life of me why you have had the issues you have had. It is like they are taunting you to gain weight!
ReplyDeleteJesus - work on learning how to cry big fat tears with snot coming out of your nose. THey'll say yes just so they don't have to look at you doing the "ugly cry" that all of us women do. Honestly - this has got to end. You poor thing...do NOT give up. It'll be more worth it when you finally win. You know like having my daughter is a bigger victory cuz I decided to do 24 hours of labor without pain meds. Um wait - maybe not good example. You know what I mean. Love you.
ReplyDeleteThat is unbelievably sucky! The song is appropriate. Keep at 'em, girl!
ReplyDeleteTotally makes no sense. So frustrating. You are doing great on your own though so keep it up!
ReplyDeleteI'll support you NO MATTER WHAT!!
ReplyDeletexoxoxo
This song is totally appropriate for the insurance company. I can't believe they are giving you the damn run around. You followed the rules and now they punish you for it. Complete idiots.
ReplyDeleteBTW you are doing awesome on your own. Keep up the good work. This to shall pass sweets!
How completely and totally frustrating and horrible - I am so sorry you're going through this.. Don't give up and know that I'm behind you, supporting you, and keeping you in my prayers..
ReplyDeleteI'm sorry, hon. I wish I had some words of advice. I love your upbeat attitude, though. I hope they can schedule a panel for you soon! I hate that you're not getting it now because you've been TOO successful on your own, that's not fair at all.
ReplyDelete