SkylarRose

Send Message

Block

Add Friend

GOSH.................Is it true.......................I stopped the fight w/insurance and now I am on my way. Things will always work out when you need them too.  I was planning on going to to get the band but, as I was getting things ready Passport n stuff .....I get a letter from my doctor here in the DFW area that they are going to do the band for $9000.     WHAT ....WHAT...called them up last week and got things rolling. Going for surgery clearance next week...then I am doing a "water diet"" just kiddin a high protien diet ..then I am going to get my BRAND NEW BAND..... I feel like I am getting a new car or something.....WOW its here. I can't wait to get started and begin a new way of life. 
GOD is GOOD  :*)

 Hello everyone, how is everybody? I need a few prayers. I’ll give you a little back ground and then update. I have been working on getting the band since last Oct 06.(1 year) I have seen all the doctors that they (insurance) wants and  more. I have been denied twice(1^st- height{laughing now... long story }) (2^nd-"controlled" APNA). SOOO mad @ this point just want to cry. Went to a pulmonologist yesterday b/c of problems with CPAP mach(since March 07). Showed him the letters from BC BS and he said that he can’t believe that they would give me a denial for the very reasons that the insurance bylaws state you need if your  BMI is not 40. (by the way mine is 38.7 )So he told me that he is going to transcribe a letter and send to BC BS that he thinks that “in the best interest of the patient that I DO NEED the( WL)  lab band and that his professional opinion it would greatly help me with the med‘s and the CPAP”

 Please pray that this letter from the Pulmonologist will be heard @ the insurance company, & that I will finally get an approval letter in the mail.

Well today 6/18/2007 I have completed my 6mth diet with my doctor. Things did not go well only b/c I lost and gain the same few lbs.(this is why I want the BAND Duh…) She said not to give up and that she would get my paper work over the Surgeons office ASAP. She also thought that I may be a little depressed at this stage and called a prescript in for me . What’s next.... Gosh now the wait on the paper work and the insurance . Anyone know how long that will be.

Highest weight known 227

Appt.                    Date                  Weight

#1~Jan               1/26/07                    225
#2~Feb              2/22/07                   221.5
#3~March          3/26/07                   223 
#4~April 
#5~May 
#6~June

……to add to the millions in the past...

I am so mad right now that I could just choke someone at the insurance company……. I have been seeing a regular Doctor for over two years. She has documented the things we have done in the pass to show weight loss but she has only seen me every two months. Well low and behold that’s not good enough for BCBS. I have to do another 6 consecutive months of diet with a doc and make sure that they document everything that we have tried for weight loss. So that puts me in around June 2007 to getting me approved for the lap band.