My First Goal

Apr 29, 2010

Well, I know this doesn't seem like much, but my first goal was to call the insurance and get a benefits book.  Well, I did call, and no book.  But I was smart enough to ask if WLS was covered.  Here's the anser: (in my words)

Not really covered, but has to go through a predetermination.  (YEA!)

Are there requirements for predetermination?

Yes, there are several.  Would you like me to tell you them?

Can you fax them to me?

Will take a couple of days.

Really?  to fax something.  Can you email them? 

Again, it would still take time.

Okay, what are they.

Here are the main ones.
at least 6 consecutive months on a weight loss program (ie:  WW, JC, etc) within 12 months of predetermination,
a psych eval, and some other things. (I kind of wasn't listening after the first part.  Too excited)

So, I asked her to mail me a copy so I could show my doctor.  And I'm making plans to join WW.  My first meeting wil be this Tuesday.  (So excited!!!)

The bad thing was, not really bad, but I did WW last year.  Only 3 months, but it wouldn't have mattered anyways even if I did 6.  I had started in March, so I would have been out of the 12 month span.  OH well.  If I can do 3, I can definitely do 6! 

So, if my calculations are right, and everything gets done while I'm doing my 6 months of WW, I can have my predetermination in after the first part of November.  I don't know how long predetermination will take, but I have my eyes set on surgery the first part of 2011.  Oh, that would be soooo awesome!

I just keep praying that the Lord will open all the doors for me.  I trust in Him to meet all my needs.  And this is definitely one of them.

May God Bless you today.
~Amy



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About Me
Tyler, TX
Location
27.5
BMI
VSG
Surgery
05/02/2011
Surgery Date
Feb 09, 2006
Member Since

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