Just driving me crazy...

Annie L.
on 6/6/07 9:30 am - Arizona City, AZ

It's been awhile since I've been here but I needed somewhere to vent.  I started my process of getting my insurance approval April 2006 I completed all the requirements needed for my insurance on December 2006 (my insurance required I do a 6mth diet).  When SBC went to file my paperwork to insurance they stated that 2007 had new requirements and I now needed 5 years of medical history, so now I had to track down my doctors and request they send them my records.  They finally received all of them at the end of May, so now when SBC went to file my paperwork my insurance states that my psych  testing and psych evaluation is now outdated and I would have to redo them, to find out now I have to do the whole screening thing again with SBC (NP, dietician, psych test, psych eval) and now my annual pap, annual blood work and a mammogram.  I just want to cry.  Is this a sign from GOD.  So I am trying to take one day at a time and do the things that my insurance is requesting. Sorry for the vent,  Annie

carolem
on 6/6/07 10:05 am - Austin , TX

You've been through more than me.  I didn't have all the insurance requirements, just testing and re-testing along with more clearances needed.  One thing was leading to another, echo cardiogram lead to a pulmonary specialist, that lead to 2 sleep studies,then a requirement for a CPAP, on and on, 1 surgery date postponed over so many tests.

I almost gave it all up, but I'm sure glad I didn't.  My life has improved in ways I didn't even realize were possible.  I'm lap-band, so even tho I loose slower than the RNY people, I'm happy and I feel really great. 

My advice to you, just take it one day and one test at a time, once you have your surgery you'll be glad you hung in there.  The memory dulls......and it doesn't seem so bad later!

Carole M
 

Annie L.
on 6/7/07 2:50 am - Arizona City, AZ
Thanks for taking the time to respond.  I know one day at a time. Take Care, Annie
JRinAZ
on 6/6/07 10:19 am - Layton, UT
Annie! Get even with the insurance company!  Jump through all their hoops then make them $$pay$$ !!! You'll be healthy, happy and riding the skinny slope down before you know it!  Hang in there!
Joyce 
Rny 2/11/03-> ERny 12/26/07-> Duodenal Switch 5/12/2010   
     www.dsfacts.com , www.dssurgery.com , & www.duodenalswitch.com

                  

Annie L.
on 6/7/07 2:51 am - Arizona City, AZ
Thanks. 
(deactivated member)
on 6/6/07 11:40 am - AZ
Hey Annie, it's Erin. Well I am disapointed for you girl. Honestly I think either SBC needs to do those things free of charge or your insurance should pay for it. Did you pay out of pocket?? I am so sorry, I really had to keep on SBC to get things done, most of the staff are pretty good, but they get overwhelmed sometimes I guess. The testing they should be able to do again, if not only takes about 45 min, but the psych dude should just write up a new report at no charge. You need to see the NP and the dietitiion again too? That seems like a bit much. ARRRRGGGG!!!!! Let me know what happens ok? Take care and keep your head up!!! Erin
Annie L.
on 6/7/07 2:47 am - Arizona City, AZ

Hi Erin,

Luckily, my insurance paid for most of the items.  I think last time I had to pay $160.00 out of pocket because of the dietician charge but after talking with Terry at SBC she said they no longer charge the patients.  So when I go back I only need to pay my copays.  I have my schedule of all appointments to be done on June 25.  On June 8th I have an appointment for annual pap and bloodwork and hopefully I can get my mammogram done the same day.  I will keep you informed.

Take care,

Annie

(deactivated member)
on 6/7/07 11:21 am - AZ
Annie I am soooo glad you got everything in order, I know all the appt can be soooo overwhelming. I am glad all mine are over with. Well let me know how everything goes. I need to go in for my mamogram, my mom had her right breast removed in April so I really need to go. Hey I posted a picture of me and Teresa on my profile take a look.... Talk to you soon..... Erin
M. clarke
on 6/6/07 1:59 pm
Try not to get discouraged. From what you wrote it sounds like the same thing I've heard over and over from people. The insurance companies are going to make you jump through a lot of hoops. It's not a sign from God, perhaps a test from him, but not a sign to quit. Keep trying, and keep pushing. They want you to give up. Don't!
Annie L.
on 6/7/07 2:53 am - Arizona City, AZ
I will try to keep my head up and keep moving forward. Thanks for the encouragment. Take Care,  Annie
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