paula
I have been over wieght for about 11yrs. Max. weight was 300# in June/05. I thought that I was just going to be fat for the rest of my life (family history) and never thought WLS was in the future for me til I started meeting people who have had WLS and went to Dr. Gluck's seminar. I am totally excited and will do battle w/ Blue Care Network if the need rises to have gastric by pass surgery (RNY). I also do not want the health related co morbidities that go along with obseity. I deserve and have the right to a healthy lifestyle and will fight for it!!!!!
9/15/05 I have just found out this week that I have sleep apnea and diabetes. I hoping to avoid all this.
09/20/2005 I am still in the process of waiting for all the information that needs to be collected to be sent into the insurance company. The wait sucks. I am also saving all my vacation time for the surgery. I am currently dieting and exercising to loose some extra wt before the surgery. I have recently switched to 3rd shift and for the first week or two it was hard to get my regular exercise routine in and I gained back 3lbs. (how depressing).
Well any way I am hoping that this will be the week that we can send off for insurance approval.
09/27/05 This is the week that everything is going to be sent into the insurance company for approval. How exciting and anxiety producing.
09/30/05 Everything sent into the insurance company this past week. I have called twice to check on my status and so far everything is still pending. How exciting this all is.
10/11/05 Just found out on 10/07/05 that Blue Care Network has denied my surgery. Now on to an appeal process.
10/15/05 Finally got my denial letter from blue care network. Now I can start working on my appeal. I was apprehensive about the first round to the insurance company because I was almost sure that they would give me a denial. Its like a weight has been lifted off my shoulders now that I am going to appeal because it shows the insurance company that I am serious about this surgery and am not willing to give up.
10/16/05 A co worker of mine had showed me some picutres of before and after of a few family members who have has RNY. What a difference in the persons appearance. I am just so excited to be able to do this surgery. To be a healthier me and a thinner me is almost beyound my comphrension. The idea of being able to play with my children and not get SOB is just so exciting for me. I am planning on buying the whole family new bikes for Easter. Just the idea of planning family activies (ones that obesity was preventing) is thrilling. ( Not to mentiong shopping for new cloths.)
11/3/05 I sent my appeal into Blue Care Network last week 10/26. I got a letter stating that I should have an answer by 11/11. I am so excited.
11/18/05 This past week I have got another denial letter from Blue Care Network. At first I was depressed (another denial letter) but now the anger has set in. I am planning on appealing it again for the 2nd time and I will go from there.
1/13/06 Just a brief update I am working on my 3rd appeal with blue care network. They are being real buggers.
6/10/06 Hey every one sorry I let things laps. I have been kinda bumming with getting a 3rd denial from my insurance company. Don't worry I have not given up. I just had to reeval my game plan. I plan on re summiting in July so wish me luck.
7/31/06 Have not re summited as of yet. August is going to be the month of resummiting. My PCP wants to do the resummiting to blue care network. But I also think that I should have Renee @ Dr. Gluck's office summit also. But undecided as of yet. I am going to see my PCP this week and ask what he thinks. Wish me luck!!!!!!!!!
8/6/06 I have been researching other alternatives for payment for GBS. I found that capital one has financing for this. Its under cosmetic surgery. I got approved but Dr. Gluck is not registered with them. Capital One is going to send me some paper work to give to Dr. Gluck. This is just my back up if I get denied by Blue Care Network. I am so tempted to grab the money and get the surgery done and hope that Blue Care Network will reimburse me. But I should not have to do that; Blue Care Network should not keep dening me. ( All based on not enough documentation from my PCP). I have seen some of the progress notes that my pcp has written about me and they are like the lenght of short stories.) I am like getting so impatient for things to get rolling.
10/5/06 I have finally on Tues. took all my info over to Dr. Gluck's office for resummiting to Blue Care Network. I started this whole process in sept/2005 and went thru 3 appeals and 3 denials. So I am really hoping for positive results this time around. I guess all I can do at this point is put it in God's hands and pray for the best.
Will keep you all up dated.
10/26/06 I HAVE FINALLY AFTER 1 1/2YRS OF FIGHTING BLUE CARE NETWORK I GOT APPROVED!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
10/27/06 I got a date of 11/27/06
10/31/06 Well with a surgery date of 11/27/06; my liquid fast will start on 11/13/06. This will be very interesting. I will be liquid fasting over Thanksgiving. I had planned on just me/hubbie/children for dinner this year so things will be good. I will just hve chicken broth with the family. I have to work Thanksgiving day and planned to have Thanksgiving dinner the day before so my family can munch on leftovers on my work day.
I work on 4 east @ Mercy Hospital so I know all the girls I work with will be totally supportive. They have all recieve my good news with happiness for me. I just started working there this past month. I have not had the bariatric training so I am unable to take bariatric patients as of yet.
Anyone with any advice on this liquid fast please enlighten me. I am open to any advice/suggestions/support.
Parts of my family are happy for me. My kids are geeked but they are just 12 and 9 so all they really get from this is mom is going to loss weight and be more active with them. My husband is okay with the idea of me having surgery but does not understand what it all involves (he will get a wake up call). I am tring to enlighten him as much as I can but reality will not really kick in for him til the surgery. My sister in law (also one of my greatest friend) is totally geeked as well and she really understands what this all involves. My mom is totally cool with this and happy for me and scared as well. My dad and brothers are okay with it but don't understand (they are medically ingnorant).
11/1/06 The fairy on my back ground is going to be a tatoo on my back. A gift to myself for my 33rd birthday. I have always liked tatoos (the whole self expression thing) and finally I can get one or two and not really have to worry about distortion which I am currently worried about with all my extra poundage.
Member Interests:
Click here to see interests of other ObesityHelp members.
Surgeon Info:
Surgeon: Brian Gluck, D.O.
Insurer Info:
Blue Care Network, HMO
This insurance company really makes you and your PCP work for approval. Follow their criteria and you should get approved.
