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Not So Patiently Waiting on Br Approval from Insurance - Oak Park, IL

UPDATED FROM mznicki35
8 months post

Finally approved, surgery date 2/08/17

M
mznicki35
So I finally got approved a ear later and a change of insurance! But its now scheduled for 02/08/17 so I'm happy and nervous at the same time! So I will be adding some before pictures and will post day of surgery and post-op.

Replies (1)

L
February 3, 2017
Congratulations! It will be so worth it and your life is about to change for the better! Keep your head up throughout the process and know that in another year, you'll hardly remember a time when you had constant neck and back pin and nothing fit. I look forward to following your story!
UPDATED FROM mznicki35
2 months post

Denied

M
mznicki35
Well this is now my second denial with Aetna! Its getting me really depressed now! But I'm gonna keep fighting but it's hard to fight when ur in pain. Otherwise I will be changing insurance during my Annual Enrollment and I will qualify with the new insurance. And I have a coworker that's approved for surgery July 28th and she didn't even have a history of pain like I do or didn't even need to submit anything.

Replies (1)

L
July 21, 2016
Were you denied solely on the basis that your PS did not want to remove 1000g? Any updates? I hope you get approved soon!
M
July 22, 2016
Yep. My surgeon says she can only do max 865g any more wod leave me with nothin . Even though at this point I wouldn't be upset at that. The pain is so severe I would take anything. Well I sent my last appeal in and waiting for a decision. Then if its denied I can do a third party review. Worse case I will change to bcbs during annual enrollment. And have to wait until January. But I'm hoping something happens soon as the pain is increasing.
L
July 23, 2016
I feel your pain (figuratively and literally!)! Best of luck!
UPDATED FROM mznicki35
1 day pre

Waiting on appeal decision!

M
mznicki35
Well they have denied the peer 2 peer SK I have moved on to the level 1 appeal. Sent all my documentation over and it was received as of April 26th they say they will have a decision in 15 days! At this point I'm not sure what to expect just want to be without being in constant pain. I'm trying not to think about but every time I pop another pain pill I can't help but to think that I could be pain free but instead they want to keep me in pain. I'm scared to call i don't want to be upset longer. If I have not received a letter by next Tuesday I will call.

Replies (0)