I fought the Insurance and I won! Yeah!
Jan 03, 2013
My insurance went to a once in a lifetime WLS policy while I was trying to get approval for my Revision. I got approval for the band to be removed only. After the band was removed, I started the process to get insurance approval for a sleeve (VSG). It was a long haul, I had to start over as though I never had a WLS. Had to get second Psych Eval. I had to submit a new medical data collection proving need and I was now under 40bmi. (There for a little while I was under 35bmi.) I had to show bmi of 35 with two co-morbs. This took a little doing but, the doctor find a couple in her back notes. I had to do another 6 month supervised diet. It was a good thing I had started logging my data on CalorieCount.com after a doctors appointment in January so my doctor submitted my inch thick stack of print out with the January appointment and they excepted it. Than I had to get a referal for a 2nd surgeon consultation. Every step of the way the people that submit the referral request from the PCP to the insurance would deny it and the PCP insurance rep and I would have to fight to get the referral OK'd.
I made it thru all the 2nds and got dates from the Bariatric Center while I was out of the country. 1/2/13 I had the pre-admission testing done. 1/3/13 I had the final Nut Class pre surgery and on 1/7/13 I will start the pre-op diet. Come 1/22/13 I should have my new sleeve. So excited now I can't sit still.