And AWAY we go......

Three4Me
on 2/3/09 12:02 pm

Okay--just a short post to ask e'one to think positive thoughts for me & say lots of prayers...yesterday I had my last appt w/Pam Helmlinger, R.D. at Centennial and then raced over to the YMCA to workout w/my personal trainer & do a MicroFit Evaluation &, of course, I had both of them sign off on everything--including verifying that yesterday was my seventh monthly appointment w/them.

Today I saw my PCP for my FINAL supervised PCP appointment and he signed off on everything & gave me a great letter for my insurance (wow, he is SO helpful & supportive!)....then I ran to Kinkos, made copies of the seven individual monthly packets containing all medical records, dietitian consults, personal training sessions & behavior modification notes & FedEx'd (overnight) the whole thing to the Appeals Administrator at Highmark Blue Shield (PA) and requested an immediate first level appeal of my original denial.  My original denial actually indicated I had met all requirements except the 6 months supervised weight loss program.  So, now I have DEFINITELY completed the six month requirement (and more) and I am ready to sit back & wait for some great news from my insurance company.  They have 30 days to respond...oh how I hope it's sooner!

I even checked w/Dr. Houston's office yesterday & they said that March looks good for a surgery date for me--we can schedule it once I am approved!

AHHHHH....I am so excited that I am so close & I can't wait to be a BIG LOOSER, too!

So, tomorrow I start tapering off of caffeine in hopes that I will have my RNY in March.

Wish me luck!  Micheala.

 

  

Preop Weight 293/SW 289/CW 202.3/GW 165/LW158

Bob L.
on 2/3/09 12:29 pm - Clarksville, TN
The Insurance Circus and in the Main Ring WLS jumping through hoops!!!!! Well done I've got my fingers crossed! Good Luck. C'ya Bob

Three4Me
on 2/3/09 10:26 pm
Thanks Bob...can't wait till my ticker looks like yours!!!

 

  

Preop Weight 293/SW 289/CW 202.3/GW 165/LW158

jharrington8172
on 2/3/09 1:35 pm - Hermitage, TN
Good Luck on your insurance battle - sounds like you have everything together and they should approve you..   My figers and toes are crossed for you.   I was talking to Holly at Dr. Houston's office just today trying to come up with a date (mine is 2/24).  I really like everyone at Centenial - everybody is so friendly and helpful.   

Let us know when you get an answer - and remember to bug the insurance company.   I called mine 3 times a day - luckily I got approved on the 3rd day after they got my paperwork.  
 

480/435/180/230
HW/SW/CW/GW

Currently Looking into Plastics with Dr. Carden (in Mexico)

Three4Me
on 2/3/09 10:25 pm

Thanks & congrats on your surgery date!!! I know Dr. Houston will take great care of you.  Wow--you are so close...just 20 days!!

I will start bugging the insurance company immediately....as will Eloise at Centennial.  I just checked the Fed Ex tracking info & the packet is "on the truck-ready for delivery" in PA, so....I'll call tomorrow!

Take care, Micheala.

 

  

Preop Weight 293/SW 289/CW 202.3/GW 165/LW158

Nsg4Him
on 2/3/09 6:34 pm - Sevierville, TN
Here's hoping everything works out!


Marilyn
                      Smoky Mountain Obesity and WLS Support Group 
                    1/17 6:30 LeConte Medical Center              

Nancy W.
on 2/3/09 9:11 pm - Sevierville, TN
Good luck Micheala,

We'll be looking for you on the loser's bench before  you know it!!

Nancy W
Denise M.
on 2/3/09 10:30 pm
 WOOOOO HOOOOO, Micheala!!!  My corgis and I are doing happy dances for you and hope the appeal goes smoothly.  And I hope your paperwork ends up on the desk of someone who is not crabby and will sign off on you quickly!

I'm about to start the insurance wait, as my chart should be submitted any day now to BCBS. I'm waiting for Bobbie at Vandy to let me know when it's been sent.

Your horoscope says, you are about to be a big, ol' LOSER!!!!

HUGS and GOOD LUCK!!!
Denise
   
Three4Me
on 2/5/09 11:34 am

Denise--have you heard anything?  Has your chart been sent yet?  I am biting my nails waiting & wondering when I should call & start "bugging" them--the Fed Ex I sent to BCBS arrived yesterday morning, so, maybe I should wait until Monday....gheeze...it's hard to wait!  I am keeping my toes crossed for you!  xo, Micheala.

 

  

Preop Weight 293/SW 289/CW 202.3/GW 165/LW158

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