I was very lucky to work for an organization that not only has a Bariatric Surgery of Excellence Program (at the time, it was only the 5th in the country), but our insurance basically pays for weight loss surgery 100%. From the time I attended the seminar, it took me about 6 weeks to get my cute, yet plump, behind on that operating table.
I don't know how hard I would have fought if I had been denied for surgery. I think I probably just would have said, "oh well. I will do it on my own"...and most likely, I would have weighed MORE than the 327 pounds I started at.
It was my sister who really got me into the seminar. We had talked about having WLS off and on for a couple of years, but only "lightly". And then she said something about me finding a time for us to go to the seminar...and off we went.
I don't write things down very often when I am in meetings. I tend to just listen. But I do believe that at our meeting in San Fransisco that statistically, if you can get people into the seminars, they are more than 60% likely going to have the surgery. Getting people there is a big deal.
So anyways, if you remember...my sister wanted the surgery but her insurance company does not cover it. And she is still waiting.
So I told you that Joe from Obesity Action Coalition gave me a great booklet to give my sister on how to appeal and some insurance basics. You can find and download this for free at their website. Here is the link.
For those of you who are self-pay or fought appeals, I applaud you. And for those of you who are fighting or trying to hustle up some funds...don't give up. It is totally worth it.