Now what?

terrydade
on 12/16/04 9:32 am - Rockford, IL
I got a call from Barix this afternoon, saying that I had been approved, BUT......my Humana provider will no longer be covering the surgery as of January 1st, and Barix clinic is out of network, so I would be responsible for $9000, something we just can't afford. I'm so angry with Humana. They had me jump through all these hoops and never once said anything about ending coverage for WLS at this year or that Barix was out of network. When I called them this afternoon, I was told that they don't have any of that info, only the approval dept does, and only providers can talk to that dept. I'm waiting for the nurse at Barix to call me tomorrow with the approval letter, but even if it's covered, I would have to have the surgery Tuesday, and I don't know if I can get everything ready by then. I'm so disappointed, I wish they'd told me that it wasn't covered in the beginning and I wouldn't have taken it this far. Terry
Shelli C.
on 12/16/04 1:08 pm - Anywhere, IL
Don't give up yet!! Maybe you can get everything together for tuesday! It is amazing what a surg. can get done for you if he wants too! you may be having the surg sooner than you think! Hang in there! Shelli
prplgirl
on 12/16/04 10:34 pm - Elk Grove Vlg, IL
I would see what I could do to have surgery asap!!!! I wouldn't wait, because you may not have the chance to have it paid for. If they won't cover WLS after Jan. 1st, then it will be alot more than $9000.00 Tricia
NANETTEL
on 12/17/04 2:15 am - johnston city, IL
Dont give up!! Everyone i sright it is amazing what a surgeon can do in a little bit of time. Keep your chin up and think good thoughts. That would be a wonderful Christmas present. Everything will work out like it supposed to i know it is easier for me to say that than it is to have to go through it but i feel for you. Happy Holidays and GOOD LUCK!! Nanette
Brooke G.
on 12/17/04 4:53 am - IN
Terry! OMG I'm sending you an e-mail with my thoughts about this.... check it soon! Love "The 16 year old"
terrydade
on 12/17/04 6:40 am - Rockford, IL
What a roller coaster. I've been on the phone with Humana and Barix all day. Final word: yes, my out of pocket is 80/20 but my yearly limit is $500. I've been approved to have the surgery at Barix on December 27th, so I'll be spending next week getting my blood work done and getting my business ready to be shut down while I'm in the hospital. Maybe I can teach my husband how to fix computers while I'm recuperating. Thanks to everyone for your good wishes. And in the middle of all of this, my son called to tell me I'm going to be a grandma! My stomach is doing flip flops. Terry
Brooke G.
on 12/17/04 7:00 am - IN
Congratulations!!!! Hey that's the day I wanted!!!! You're a date steeler too!!! It's going to be awesome... maybe I can come visit you now too!! Love The sixteen year old
terrydade
on 12/17/04 7:04 am - Rockford, IL
You're killing me. Okay, I'll come see you and you can come see me, if you're feeling up to it. Terry
MaryShowie
on 12/19/04 12:16 am - Cary, IL
Terry, That is GREAT NEWS!! I am so happy for you. Best of luck to you........wow, not much time to prepare, huh?? You will do great! Isn't that a great Christmas gift????? Mary
terrydade
on 12/19/04 12:22 am - Rockford, IL
Thanks, Mary. At least it gave me another week, so I'm able to shut down my business and get ready. It truly is a wonderful gift. Terry
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