It's Official!
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I RECEIVED A CALL FROM MY SURGEON'S OFFICE TODAY INFORMING ME THAT MY COMPANY HAS A SPECIAL CLAUSE TO OUR MEDICAL INSURANCE POLICY THAT STATES THEY WON'T EVEN CONSIDER ANYONE FOR WLS WITH A BMI LESS THAN 40. MINE IS 39.3 SO CLOSE BUT SO FAR. I WAS DEVASTED BUT KEPT MY COOL. SHE TOLD ME THAT I SHOULD CALL MY BENEFITS DEPT., TELL THEM MY STORY, GET A NAME AND FAX # SO SHE CAN SEND THEM MY RECORDS TO REVIEW.
ONCE THEY REVIEW THE RECORDS AND IF THEY OVERTURN THE SPECIAL CLAUSE, THE INSURANCE COMPANY NORMALLY WILL APPROVE THE SURGERY.
WELL... SINCE I'M THE H.R. MANAGER, I CALLED THE HEAD OF OUR BENEFITS DEPT. HE WAS OUT OF THE OFFICE ON VACATION UNTIL JULY 9TH. I WAS NOT GOING TO WAIT UNTIL THEN SO I CALL ANOTHER PERSON ON HIS STAFF WHOM I'VE KNOW FOR OVER 10 YEARS AND TOLD HER MY DILEMMA.
GUESS WHAT? SHE TOLD ME I WAS IN LUCK BECAUSE LAST WEEK MY COMPANY DECIDED TO MIRROR BCBS'S MEDICAL POLICY AND THREW OUT THE SPECIAL CLAUSE. I ALMOST LOST IT ON THE PHONE I WAS SO ELATED. WE TALKED A LITTLE MORE WHILE SHE FILLED OUT THE NECESSARY DOCUMENT THE INSURANCE COMPANY WILL NEED AND FAXED IT TO THEM TODAY. YEAHHHH
I CALLED MY SURGEON'S OFFICE AND TOLD HER THE GOOD NEWS. SHE WAS HAPPY TOO BECAUSE SHE DIDN'T HAVE TO GET MY RECORDS PREPARED. SHE TOLD ME THAT THE BMI WAS THE ONLY THING HOLDING BACK MY APPROVAL AND NOW THAT THE SPECIAL CLAUSE WAS REMOVED FROM OUR INSURANCE POLICY I SHOULD HAVE MY APPROVAL ON JULY 5TH OR 6TH. I'M SO EXCITED.
I'M SHARING ALL OF THIS BECAUSE IF THAT SPECIAL CLAUSE WAS APPLICABLE I WAS GOING TO APPEAL AND AGGRAVATE EVERY AND ANYONE I COULD TO THE DEATH.
CAN'T WAIT FOR FINAL APPROVAL. SURGERY IS SCHEDULED FOR JULY 30TH. KEEP US POSTED.