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Hang in there Girl..... It will happen. 

Prayers for a speedy appeal process.

{{HUGS}}
Tressa

My insurance requires me to do a three month diet and have a psych eval for approval...that's it.


So, I called to make an appointment.  I was told I must go to a seminar and take my insurance information so that coverage could be verified even though I already knew I was covered.  So, I went to the doctor's required seminar in early Sept and of course did not hear anything I had not already learned on OH.  A few weeks later, I receive a letter congratulating me that my insurance covered WLS and asking me to call and schedule an appointment.  So, I called and called and called.  For three weeks I left a weekly voicmail.  Finlay, the coordinator Finlay answered her line and of course had a story about how she had been out the previous week with the flu...no mention of the other two weeks that the calls were not returned. So, my first appointment was delayed until the end of Nov. 

So, the end of Jan rolls around and I go for what I thought was my last presubmition visit but, the nut insisted we had to meet once more.  So I wait one more month. Go in for the "last" visit.  I am called up the front counter and told  we don't need to meet after all.  We could have and should have submitted after my previous visit like I had thought.  So, deep breathing and counting till ten I walk back to my car for the hour drive back home.  I stop in the car to call the insurance coordinator to make sure I have everything else done.  I get her voice mail which requested I leave one message ("multiple messages were not necessary") and she would get back to me.  So, one week later, I call and apologize for leaving a "multiple message" but remind her that I have still not heard from her.  Two more days go by and still no response....so, I call and complain.  I am directed to the office manager...and sent to ....you guessed it her voice mail. ...and surprise two days go by before she returns my call....


So, the office manager Finlay calls to explain that the insurance coordinator's father had a heart attack and was going to have a quad bypass the following day (keep in mind this is over two weeks after my original call to the insurance coordinator)...and the insurance coordinator would try to come in just to submit my paperwork the next  day and I should expect a call from her.  NO call....so, I call the office today and I am told she has still not returned and is not expected to this week...and once again sent to the office manager's voice mail.  And surprise no return call.


So, one one hand my mom had a heart attack and by\pass when I was 19 and I remember how frightening that was.  So, I want to be understanding ...but...On the other hand my mom was 40 when she had her heart attack and was much less obese than I am and did not have diabetes the way I do AND I am turning 39 next week.  I feel like I have a time bomb inside me.  I know surgery will not keep me from having a heart attack but I hope it will make it possible for me to survive it. 

At this point if the Insurance coordinator had not caused any delays with her health and family issues I would have been 6 weeks further in this journey and if the nut had also not caused another delay I would be 10 weeks further in this journey.  So, I am SO Frustrated!!!!!   I just do not know what to do....I have tried complaining...and I am now concerned that the quality of care I receive will not be the best.


Am I really that horrible for being mad and scared?

Hi... you REALLY need to call your doctor...
in the meantime if you are feeling that weak... instead of the apple have a little ORANGE JUICE.

at this point... with NO hunger... you need to eat by the clock not by when you are feeling hungry... because you won't eat... and then you will get weak and have these issues.

protein first, and a little complex carbs it keeps you going...

but don't forget CALL YOUR DOCTOR...

do it please....

we care...

don't delay...

I've heard so many stories about people being denied over someone missing a spot that needed to be initialed.  On top of that they didn't even tell the person that was the reason!!!  You hang in there Suzy.  Don't give up and I want you to visualize yourself having your surgery...see yourself checking in and going to the hospital.  Keep us posted and I'm so glad you've got someone fighting for you!
hugs, Y

Lilitu..LMAO  Thanks for the encouragement..someday when I have time I hope to be on the stage again..I love the MEDIUMscrappingirlie..I ROTFL :)