Hi Barbara;
My name is Jo Anna Chacho and we met when you spoke to Drs.
DeMaria, Kellum and Sugarman’s support group in Richmond, VA.
You were dynamic and entertaining and certainly an inspiration.
My daughter had the Roux En Y procedure done in
August of 2001. She has gone from a size 26 to a beautiful
size 6, and had a weight loss of 136 pounds. She's had a tummy
tuck and works out at least 4 times weekly. She too has been
an inspiration to me.
I decided to have the surgery last August and
started the ball rolling with an informational meeting in September.
I chose to use the services of Dr. Dan Procter at the Obesity
Solutions Center in Gainesville, Ga. because that is where Amy went.
As a matter of fact, she is now part of their team full time.
All of my research only convinced me further that this was the
doctor for me. He has a marvelous program that includes so
much.
I began the long process of the "insurance
game" with CIGNA in September. First, they wouldn't pay
for the psychological workshop that Dr. Procter insists you commit
to. The cost of this, along with a 1-hour evaluation and also
the MMPI exam was $750.00. They paid $150.00 for the
evaluation.
Then they denied my surgery claim because they
said they didn't have the proper evaluation to make a decision.
They went on to deny my claim 3 more times. I accepted an invitation
to attend the 5th and final appeal hearing in person in Charlotte,
NC yesterday. This was about a 5 1/2 hour trip just 1 way for
me. We left at 7 a.m. and traveled 3 hours when my cell phone
rang. It was the appeals coordinator in Charlotte calling to
tell me that she just received a call from another of CIGNA's many
doctors denying my 4th level appeal based on the lack of that same
psychological evaluation which she pointed out was, in fact, there
in his packet. With that the appeal doctor changed his mind
and reversed all of the other denials.
So, my surgery is now scheduled in 3 weeks.
I'm so excited. I'm so looking forward to a healthier, slimmer
me. I'm 60 years old and a grandmother of 19 with 1 great
granddaughter. I have never been able to get down on the floor
and play with them or play ball or run with them. All of that
will change now. I have the desire and determination to be one
of your success stories.
Everyone told me to give it up because the
insurance company simply would never say "yes". I
guess I showed them what Mom is made of. When my daughter told
me yesterday she was proud of me, it was all worth it.
I thought some of your readers would realize
that they can "play the game" too and win just as I did.
Thanks
Jo Anna Chacho
Palmyra, Va. |