Amy G.
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
Surgery
05/02/2011
Surgery Date
Feb 09, 2006
Member Since