kelly_hope
Submitted for approval!!!
Apr 21, 2011
I've been submitted for approval!!!! (again) The story was that BCBS suddenly changed the supervised diet from 3 to 6 months... two weeks before I finished my 3 month diet. So my fabulous insurance lady from my surgeon's office went to the VP of Boeing Benefits to straighten things out. Here is her email:
I have received confirmation from the V.P. of Boeing Benefits, that for the calendar year of 2011, your supervised diet requirement is to be 3 MONTHS.BCBS mistakenly overlooked the fact that an agreement was in place with Boeing that your medical policy would not change until the next calendar year (1/1/2012). 
Congratulations! I re-submitted you yesterday for reprocessing, also with April chart note. Your EKG was received as well.
Ahhh!! This might actually happen for me! I'm going to get started on the Atkins diet because I know I have to do two weeks of that before the surgery. May as well start now!!!
I have been whipped back and forth emotionally so many times, I don't think it will sink in until I get the approval. I am relieved that with this happening, I don't have to have my back surgery right away. My doc was really pushing for it. Now I can do things in the order I want them to.
You know, she told me she didn't think I'd even lose 100lbs with wls. Given the context of the conversation, she may have meant that I won't walk out of the hospital losing 100lbs (which I think is the case, she is an awesome lady). She wanted me to the back surgery so I could have relief now. But if she did mean she thinks I won't lose 100lbs with Gastric Bypass, boy is she wrong! I'm going to lose all my extra weight!!
Now I get to worry... maybe I won't get approved. With the ins. company making a mistake and Boeing having to step in and tell them they are wrong, what if they decide to be pissy about approvals??
I'll blog as soon as I hear anything!!
