Monday, August 20, 2007
Aug 20, 2007
I was glad to see Monday come. BCBS doesn't work on the weekend. I overnighted my pics and my PCP letter of authenticity to them on Thursday, August 9th. It didn't show up in the BCBS system until this past Thursday, August 16th. I been talking to a nice lady at BCBS who is a supervisor and she sent up a priority on it yesterday. I checked this morning about 11:30 and still no decision. Still pending. I called back late this afternoon before I left work at 5:00 and talked to her and still no answer. She said she'd call me JUST AS SOON as they made a decision. She said she was watching it for me. I guess that's a good thing but I'm soo impatient! How long does it take to look at 2 pictures and read a 1/4 page letter from my PCP??!!?? I know they have more to do than cater to me but I've been trying to get this approved since July 19th. I know some people have waited much longer than that but don't see how they did it! God bless 'em! I hope to hear something from them tomorrow. Or maybe the next day. Surely this week! Surely! The waiting is terrible. But I sent them exactly what they said they wanted so I should be approved this time. Please continue to PUSH (prayer until something happens). I know God goes before me and works on my behalf everyday. I praise God for that too. I owe him all the praise and glory. Until next time...
Insurance Woes!
Aug 04, 2007
I haven't updated in a while so thought it was time. Looks like BCBS of Alabama is not going to approve my surgery. They said I didn't meet their "medical criteria." I submitted an ER record of my weight for 2004 and they said that wasn't acceptable. They think they asked me my weight instead of weighing me and they can't accept it. The weight was 275#. I told the lady at BC that if it was a stated weight, I sure wouldn't of said 275#!!! Then I didn't have a weight for 2005. All I had was a record from a doctor that said I was positive for being overweight. Didn't say how much I was overweight so they won't accept that. They wouldn't accept my pictures either because I didn't have a physician's letter to back them up that they are a true representation of my weight for that year. A bunch of bologna if you ask me! My surgeon's office wrote a letter of appeal to them and so did the registered dietician at the Wellness Center. I don't think this will help but it's the last chance I have. I'm pretty sure my surgery isn't gonna happen next Wednesday or anytime in the near future. That's only 4 days away and I know BC doesn't work that fast. I am still trying to half way eat right and stay away from breads, sodas and sugary stuff. I'm gonna try my hardest to maintain my weight and not gain any. I'll try again in 2009 and I'll document, document, document so that then I'll have everything in order. I just hope I still have insurance then. That's another story for another time....
Waiting for Insurance Approval - July 20, 2007
Jul 20, 2007
I talked to Mary, the surgeon's nurse yesterday and she said she was working on submitting my stuff to the insurance company. She was supposed to of did it the day before that, but didn't. I called BCBS of AL today and spoke to a real nice rep named Andre. He said he didn't see a prior authorization for me so I don't know if she didn't get it filed or it just isn't showing up in the computer system on their end. I tried calling Mary but Dr. Mailapur closes his office at noon on Friday. Sigh. But you can bet I'm gonna call her on Monday morning first thing to see if she filed it. My surgery is scheduled for August 8th so I don't have that long. She needs to get on it so I can get the approval. If I'm denied, then I will appeal it. I didn't come this far to give up. I know yall are tired of hearing me talk about insurance approval but right now it seems to consume me. Just waiting and wondering is very hard. Hopefully I will know something in a few days rather than 2 weeks. I'm learning patience.