My saga
Yesterday, when both CIGNA and BC/BS still swore they had no paperwork on me, I called Lisa@Dr. Wright's office back. She said when I called her Monday she sent the pre-cert person an email asking her to refax my stuff. I then asked for the precert ladie's phone number, which she gladly gave (prolly to get me to quit calling her every day ). I then called and left a voice mail on the precert ladies pone but she didn't seem to be in, so I called back early this morning and caught her. She sounded really nice and said she sent my stuff certified mail and my insurance company signed the certified receipt on July 14, therefore did not resend the stuff when Lisa emailed her Monday. I explained gently to her that it's common for CIGNA to say they didn't receive something and if she would please fax it to me, I'd be glad to quit bugging her and fax it myself. I was actually quite proud of the calm, cool way I conducted my call with her and didn't bother to tell her if I have to fax it to the insurance comapny 3x/day, I will until someone gives me a determination.
After reciving the packet from her via fax, I added a three page letter of my own detailing my weight loss attempts and the scars I still carry from nasty kids I went to school with growing up. I chronicled such events as someone mooing when i walked across the stage at graduation practice to never having a true boyfriend growing up, as guys would date me once thinking the fat chick was an easy lay; when they found out different, they didn't call for a second date. I told them of feeling like a nonperson and years of physically and mentally abusive relationships which stemmed from thinking I was nothing. Also, I spoke of my beautiful daughters, who swear they aren't ashamed of their whale of a mom, but who I can no longer keep up with. And finally, I listed all my lovely comorbities. One of the nurses I work with proof read the letter for me and got teary-eyed (just the effect I was hoping to illicit )
When done, I faxed the packet to both CIGNA and BC/BS of IL; so now it's just a wait. I did find it funny that the precert lady sent a copy of the signed receipt from the insurance company. Poor her, she sent it to BC/BS of TN when I have BC/BS of IL. In my present loving and nurturing mood, I didn't call her and rub her face in her mistake.
I am seriously hoping to get confirmation of receipt of the packets by tomorrow. Then I will seriously do some pacing while I await their decision.
Hope you all are well and much love to each of you, Kelly
Hi Kelly, it sounds like you have more patience then I did today. I would be spitting nails at someone's head. I sincerely hope that they will approve of your claim for the surgery. I would just happy having a Dr. who will do the surgery.
Hang in there honey, help will be coming your way. With God's love and prayers, Kathy