I feel…
I really feel like I have been deprived a cure
for this disease that has burdened me my entire life.
At 16 I weighed 245 I should have been given the
option then. Instead I have had to suffer with obesity
for 14 extra years. I now weigh 324 and have found
out about it. It is dangerous my doctor says..but I
am slowly dying this way. Diet pills do not work for
me does society really believe that if I could get
rid of this weight any other way I would? I am tired
of walking by people and they scoot in their chairs
even though there is plenty of room. I just want this
surgery more than anything. The only co-morbidities i
have are depression and degenerative arthritis. I am
5′ 6" and weigh 324<br>what are my chances of
getting approved without legal action? I have Priority
Health PPO and there is a doctor in my network that does
this surgery.Anyone have any experience with them?
November 26th, 2003 at 10:16 am
Hey there :)<br>I haven’t had any experience with
Know
Priority, but let me tell you this. My insurance are real
sticklers, my coverage had to be medically necessary and all
I had was asthma. Mildly at that. So, don’t worry
so much. Arthritis is a good comorbidity, as is
depression. What overweight person doesn’t have that?
what I mean?<br>So take a deep breath, and expect to
be approved. Besides, these surgeons can do wonders
in making things seem so much worse than they are so
that you can get coverage, they are great like that!
Good luck to you!<br><br>Laura H.
November 26th, 2003 at 3:37 pm
Listen here. If you have a medical condition that
can be eleviated by this surgery then you will be
approved. Insurances are in a tough spot now. If they deny
you the surgery then thaty HAVE to offer you other
means of correcting your co-morbities. If you have
diabetes, asthma, back pain, high blood pressure, or
anything like that, they know that it is cheaper to do the
surgery then to care life-long for you. They cannot tell
you that your other option is to lose weight on your
own, and they face law suits if they deny you what you
need. My friend was approved at 100 pounds overweight
with pain in her knees. The only exception to this is
if your insurance states up front that they DO NOT
offer any weight loss surgery or medications. If they
do not state this in your handbook, then rest
assured you will be approved.