futurefinemama

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This is somewhat of  a dissapponting post. A couple weeks a go I thought my VSG was approved. Come to find out, when I called  my ins company to check on  the VSG ref# number,  the ins rep said it was approved.  I called my surgeon's office to give them the good news,  the ins cord. verified it with my insurace company and called me back and told me the VSG was denied and the rep had given the wrong info on the procedure. So, I had to verify this info myself and surely enough the ins rep looked at the wrong info. That mishap put me back in square one. I decicded to put in for an appeal and they took three weeks and they denied it. Stated the VSG is  experimental and not enough medical evidence of success.  WOW!!!! I have decided to get the RNY, this procedure had already been approved. But I canceled this approval in order for the VSG request to be submitted for approval to the ins company. I know thisl might sound confusing; too sum it up: My ins coord submmited a request for RNY, when I clearly stated I wanted VSG. She finally, submitted the VSG request to the ins company;  VSG was denied by the ins company, submitted an appeal, appeal denied. Now, I have resubmitted for a RNY, waiting on an approval; so I can get on with my life. Will update on the progess.
DAMN! DAMN! DAMN! JAMES!!!!!

I am approved! I found out on Friday-10/03, I was approved for the VSG.
Last week, my surgeon's  office had a little mishap. They approved me for the RNY because the insurance coordinator did not think it would get approved. Well, after a visit to the office, they re-submitted the ppwk for the requested surgery, within a 24 hour turn around, I was approved. So, I am getting my affairs in order at home and work. My date is 11/12... I am nervous but ready.
I still have 7lbs out of my 20lbs that's required by the surgeon.
Still on my grind.

I am a little discouraged now. I haven't lost the 20lbs and I'm really thinking about post-poning the surgery all together. For one, I really need to get the surgery scheduled soon because my job is laying off. I don't know when but I know it will be before June 09. And I am really thinking about the after care without insurance, what if I have complications... Not a good day today, and I am dealing with family issues that have rearranged my entire life-style.
One good thing, I am finally  finished with the psych-eval!!!  So, the surgeon's office is waiting on me to drop the 20lbs before they will submit to the insurance company.
So, next time I post, hopefully I will have better news.
I guess I'm still on my grind...

Okay, I don’t want to rush the process because if it’s for me, it’s for me. I have already taken my Psych eval, which I think was a bunch of crock. Since I only talked to the therapist for less than 30 minutes, then took a battery of test for an hour and a half. After two weeks, he was to submit the paperwork to the surgeon's office, giving me a yes or no. When I called to check on the status, he told me he had issues with my insurance company paying for both the test and the consultation. And he threw in there; he was not to release any results until he was paid in full. Whether it was by me or the insurance company, which was fine with me, I did read over the waiver. I just think he’s being an azz, he told me he would send the results to the surgeon’s office and go over the results with me on the phone. Now, he wants me to come in for a follow- up, then he will submit the results. Mind you, he never said anything about a follow- up with me until he had issues with my insurance company. So, what I think he’s doing is making up for a visit that the insurance company did not pay. I will be extremely happy when I am finish with the psych eval, I thought this would be the easiest part of the process. I am still on my grind. 

A bit of a set back... I am suppose to lose 20lbs before the doctor will agree on  the WLS. I did not loose a pound, to be honest my heart wasn't in it.  And I half-azzed through the diet and exercise some what. But the dietician, is serious, she is not sigining off on my ppwk until I loose 20lbs. So, now I am serious. I'm doing a tea cleanse to jump start my body and I am watching what I eat. I slip every now and then and my lunch time buddies are such a bad influence. So I am not going to lunch with them. That is my biggest down fall. 
I am hoping to get the weight off before my August appt with my NUT.
This is my hurdle, loose the 20lb and attend a support group meeting then my package will be ready to submit to the insurance company.
I am thinking to myself, all or nothing. I can not go into a decision
like this half hearted. So, I am on my grind.  

Okay, so far, I have gone to the initial Seminar back in June,
It was informational, Dr. Hart was pretty personable.
I filled out the info at the seimar and at the end of the week I got a call from his office and they told me my surgery was covered by my insurance.
I had a consult with Dr. Hart it was sort of brief. I expected a lil more time. But hey he's a doctor..busy, busy busy
I have taken my labs and I have also been diagnosed with sleep apnea so, I had to take a sleep study. Lets's just say I'm glad that's over.
I have taken the pysch eval too... I talked to the shrink for about 30 minutes and completed a psych test for about an hour and half.
Now, I have to attend a Support Group and then my ppwk should be submitted to my insurance.
I am patiently waiting.. Not really anxious and hoping this will happen. Just feel if it's for me it's for me..

Until next time.