katsparks
A bump in the Road!
Mar 15, 2010
On Friday about 12:45 PM, I got a call from Dr. Jenkins. He tells me that he has bad news. My heart stopped. He goes on to explain to me that we had originally submitted to insurance requesting that the surgery be performed at Sutter Auburn Faith Hospital. There was a problem, SAFH is a Level 2 Center of Excellence and my insurance wants me to go to a Level 1 Center of Excellence. Here is where the big problem comes in.....Sutter Roseville (the only other hospital my doctor has rights to) no longer accepts my insurance for inpatient "elective" procedures. Now, to add insult to injury, my primary doctor is at Sutter Roseville. According to what my surgeon knows...we are stuck. I do qualify for the Lap Band procedure, but I have always planned on the bypass. I was just so devastated on Friday. I was crying to the point that I seriously could not breathe!By the time Friday evening rolled around, I was getting annoyed by this whole situation. I mean seriously...the difference between a level 1 & level 2 CofE is only numbers. Regardless of what facility I have the procedure at, my surgeon is the same. I think that the whole situation is stupid.
So, at this point, I have called the insurance company to ask if there is a way to request an exception so that the surgery can be performed at SAFH. They told me that the surgeon had to request it. So, I called Heather and gave her the info. My mindset at this moment is that I am not planning on getting the gastric bypass, but I am hopeful that the insurance company will allow for the exception. It just devastates me to think that I have come this close only to have it taken away! I am praying that the insurance company has a heart!
3 Comments
About Me
Auburn, CA
Location
18.8
BMI
Surgery
04/27/2010
Surgery Date
Mar 03, 2010
Member Since
