Need Support and Need to Vent!

Dec 15, 2010

I’m doing everything I was told to do. I’ve only been at this about 6 weeks but I’m 150% dedicated now. I’m sure there are many, many others out there and on this site like me but I guess I need to vent. Undoubtedly this will be the first of many during this journey.

I feel like this journey officially started the day I got a call from an RN at my insurance. She went over everything I needed to know and answered any questions I had. One thing that came up was the insurance requirement that I need to have 6 months of supervised dieting documented in the last 2 yrs. I didn’t have this and explained that I was between primary care doctors and hadn’t found a new one yet but in my willingness to start this process, I asked if I could see a nutritionist instead. She said yes.

So, that’s what I’ve been doing since mid-November. I am now on month 2 of the 6-month supervised diet and the surgeon’s office said they don’t think the documentation by a nutritionist is going to work and that it should be by a doctor.

So, I called RN at the insurance. This time, she was very different with me. Not as nice as the first time. She barely spoke. I explained to her that I had talked to her on 11/3 and reminded her what she told me and that I needed what she said about my seeing a nutritionist instead of a doctor in writing. She said she couldn’t give that to me. I asked why not and she said she has it all in her notes and if someone needs to call her to confirm, they can. Great.

Next, I called the surgeon’s office back and they said to try again to get the info in writing and get a copy of the policy and they also think that I need 5 yrs of documented weight loss. What??? 5 YEARS??? Luckily, I work with 2 people in my office who have had the same exact surgery in the last few months with the same exact surgeon. Both women told me they didn’t need the 5 yrs of documentation. Come on! Is this going to be as difficult as this the whole time?

I called the RN at the insurance back but I had to leave a voicemail explaining everything I needed. I haven’t heard back from her. Then I called the surgeon’s office and told them the same thing. The woman there said she would look into it and call me back.

Any support or advice from anyone out there would be VERY appreciated!

~ Megan

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