Is this real?!

Oct 31, 2014

I was looking on my insurance website and noticed that the upper endoscope I had done last month said denied on my insurance status. I could not figure out why it would cover everything else but this procedure. I decided to call the insurance hotline yesterday morning. The lady I spoke with actually seemed to know what she was talking about. She assured me that everything had been covered and it was just a mistake and it had not been changed online yet. I decided to take the opportunity to see if she could tell me what the requirements were for bariatric surgery since this has been an issue from the beginning. I was told that I did not have to do the 6 month diet and that it was required through another plan under UHC but not mine. I decided to call my Weight Loss Clinic and talk to the insurance woman to explain that I finally had gotten an answer and the 6 months was not a requirement. Upon speaking to her, she informed me that she has all of my medical records and I have completed all of the classes they require. I have also completed the surgeons requirements. My last and final appointment will be on November the 13th. The last step of this journey is my psy eval.  I do not have to do anything else until after the approval. She told me that after I finish my psy eval that that they will be submitting the information to get the approval for the surgeon that day. Apparently, there was miscommunication at my last appointment. She went on to tell me that she had finally gotten answers from my insurance and that she was putting my file together. She said that she was going to call me once she was finished to tell me the good news but I beat her to it. I thought my last weigh in was going to be in December and I wasnt expecting to even submit the information until the beginning of the year. So its looking like at the end of November I will find out if I am going to be joining the losers bench. I was also informed that I needed to get a letter from my doctor sent in saying that she supports me and that she feels like surgery is the only cure for my obesity. My doctor hasnt always been on board with my  weight loss journey and I was very nervous to ask her for this letter. I thought you know what to heck with it, this is my life and I am not letting anything or anyone stop me. SO I stopped in her office and sat down with her and told her everything  I was feeling. I told her what the letter needed to contain and told her I was ready for this and I had appreciated her support thus far and that I was almost to the finish line. To my astonishment, it went well. She is actually going to write the letter for me. She will be submitting that letter next week. Today is the 1st.. Really, the 13th??? It isn't that far away! I was told that the approval process can take up to 2 weeks which I am ok with. I will probably have my finger nails chewed down to the quick but whatever. LOL

This all seems surreal. I keep trying to tell myself that I need to stay positive. Sometimes I can convince myself this is going to happen for me and then other times I am filled with nothing but doubt. I feel like I have never wanted something so bad in all my life! 

I really hope that the next post I have will be titled APPROVED.

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About Me
South Point, OH
Location
46.1
BMI
VSG
Surgery
12/17/2014
Surgery Date
May 24, 2014
Member Since

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