Denied!!
It is unbelievable to me that people who do not know us, will never meet us or
our families get to make these life or death decisions for us. They get to
decide if we can have the surgery that would save our lives.
I have been denied by Humana again and according to the woman I spoke with I
have no more appeals. Which is not what my benefits book says. I can only now
contact the Missouri Insurance Dept. I don’t think that will make any difference
but I plan to send them a note explaining the situation.
I do not have to option of paying for the surgery myself. I do not have anyone
that could help me with it. Which means I will not be having the surgery. I am
not sure what I will do now. I am going to have to try to diet and lose some of
this weight.
I just wanted to let everyone know what has been going on. I haven’t been online
for a bit, I have been very bummed about being denied again.
Thanks for your support.
Pat
August 28th, 2006 at 10:18 pm
Hello Pat,
Well, understatement of the day: This sucks!
I can only encourage you to NOT GIVE UP EVER!!!!
Don’t write a note, write a letter. If ya want help putting
words to it, I’ll help. Contact everyone you possibly can,
including the supervisor of the insurance company. Let them
know that according to your booklet you still have appeals
but are being told you don’t have any left and want a
straight answer from someone who hopefully knows what’s
going on there. Send them a picture of you so they can see
just how disabling the weight is.
Diets don’t work, don’t kid yourself. We’ve all been down
that road too many times.
Fight for what you want, get yourself the surgery. If it’s
possible switch insurance companies. Or beter yet, what is
their reason for denying you??? Maybe someone here could
help you jump over that hurdle with the same problem they
had.
In any case, keep your chin up, and DON’T EVER GIVE UP!!!
NEVER NEVER NEVER NEVER NEVER GIVE UP
Jim in Florida ºoº
Pre-op and fighting for SSI/Medicaid
Appeal hearing w/ administrative law judge 10/29/03 in
Tampa
5′8″, 419 lbs.
BMI 63.9
September 2nd, 2006 at 12:08 pm
I want to thank everyone for all of their support and kind words of
encouragement. I have contacted Walter Lindstrom. I will wait to see if he can
help me. I haven’t given up, although I am not holding much hope that anything
can be done. We will just have to wait and see. But I really do appreciate
everyone for their help.
Thanks again!
Pat