This is my journey after Weight Loss surgery. It may look easy, but believe me it is not!!! It is awesomely life altering!!!

Thursday, July 30, 2009

Insurance Fiasco

So I decided to get Gastric bypass surgery. Call the clinic, give them my insurance information, BAM surgery is scheduled, only in another world!! So I had to do lots of stuff to get my insurance to approve my surgery. We were on cobra since Reid was laid off. I had to undergo a psych evaluation, I passed with flying colors (I am sure some were surprised), had to have documentation of all the medications and diet programs I had attempted in the past 5 years, recommendations from the surgeon, list of my comorbidties (my BMI was under 40, which requires at least 2 pre-existing conditions), sleep test results (I have sleep apnea), and a written recommendation from my Doctor. My Doctor actually wrote the letter without any hesitation, I got it from my endo. She actually personally called me and told me that she usually will not write these types of letter for most patients, but out of all of her petients she said I try harder then anyone else. I have done it all and she feels that I can succeed with the WLS (weight loss surgery). So everything was submitted and then we played the waiting game. I am not a very patient person so I was calling my insurance company alot!!!! I am sure they were beyond sick of me :0). After about 4 weeks I got the approval letter in the mail. i had to wait until Barix got all the information straighten out so I could schedule my surgery. While waiting Reid interviewed and accpeted a new job. While this was awesome news, I selfishly thought about my surgery and wondered if it could still happened? Woud we be on cobra or have a new insurance by the time my surgery could get scheduled? At Barix they were scheduling 2 months out for surgery. Anyway Reid got his "packet" from his new job. I called Barix and told them his new insurance. They told me it did not cover WLS. Of course this put my wheels in motion, I talked to the office manager at my surgeons office and got her on board my ship. She worked with scheduling at Barix to get me in while Cobra was still active, before our new insurance took affect. She is great, a savior to me!!!!!

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