3-29-2008
Mar 29, 2008
I'm finished with everything. Julie called me on Friday and reassurred me that they have all my paperwork. We are now just waiting on Dr. Gagner to return from Europe. He should be back in the Office this Wednesday. Julie said when he returns I'll get a Surgery date and were looking at late April. But we will see..... We still gotta submit to the insurancee company.....
Like always wish me luck, Tea
03-11-2008
Mar 11, 2008
So I called another office, which is in Ft. Myers on March 20th, 21st and then finish and review on the 25th. Wheeeew then I will be done.........((((Knock on Wood)))) supposidly (sp).
Well we'll see.....as always wish me luck, Tiffany
03/03/2008
Mar 03, 2008
Off to see the Surgeon
Mar 02, 2008
Switching Surgeries!!!!
Feb 23, 2008
02/18/2008
Feb 18, 2008
On 02/18/2008 I had my second appoint with my general doctor. He is still recommending me to Shands and has called them to start the process, they should be sending there packet for us to fill out the information they require. He also had blood work done on me, the results should be in by the end of the week to assist in furthering the process. This is also to check my thyroid I guess for insurance purposes, even though it was checked 3 years ago and was founded to be fine.
I reminded my Doc that the insurance said it was excluded from my plan and he said he does not think I d\should worry about it and that he is pretty suer they will approve it anyway. I don't know about that, but he suppose to be calling them soon......WHO KNOWS WHEN. Anyways I think thats it for now. I will update as I go......
later, blessed be, Tea
02/14/2008
Feb 16, 2008
On 02/14/2008 I called bcbs of FL to find out what they needed me to do, even though I had already looked it up on a cite. I wanted to hear it from a live person. Upon speaking with then she said that WLS was excluded from my plan. After I told her that I knew a medical necessity would change the scenario she put me on the phone with someone else.....I'm assuming a supervisor. She then told me it was excluded and I repeated myself. Finally I said, "Look ma'am I know you just work there so between me and you exactly how many times am I going to have to appeal this til I get it paid for, but eventually its gonna happen". She just sighed and said I don't know, but I'll go a head a gather a few appeal forms for you to go a head and send them out. She then gave me a specific number for my doc to call.
So I guess you can say I got off the phone not very happy, but definantly not upset because I knew I was still getting a little somewhere.
As soon as I got off the phone with her I immediately called my doc. As soon as he got on the phone he said, Hey would you be willing to go to Shands in Gainsville, because this is where I'm recommending you go. I immediately got excited and said Doc I'll go where ever you want me to go in order to get this ball rolling. I then informed him of the conversation I just had with the ins co and he told me not to worry about it that he would call them and fight with them tooth and nail...stating,"you need this surgery and trhey should pay for it". Now does that mean he is god and there going to say....oh yesssamassa. Hell naw. But atleast I know he's fighting for me, which makes me feel better.
My next appointment with him is on Monday....wish me luck, Tiffany
YESSSSS
Feb 12, 2008
OK, So I've been doing some more research. My insurance request the following:
1. medical records documenting a failure of physician-supervised weight loss programs for six months consecutive months and counseling prior to surgical intervention.
2. Psychological testing.
3. History of obesity and any co-morbidties
4. Documentation to support endocrine studies performed (i.e., tyroid panel)
5. A letter from the primary physician including facts supporting medical necessity.
6. Documentation of your height, weight and BMI.
Well friends let me just say that I am excited to say as of right now I can check off # 1. B/C I forgot I did 6 months of Medi weight loss clinics within this past year, which should count as my 6 month doctor supervised diet. YAYAYAYA.
I only have to do #2 and provide the rest. I hope I'm not getting to excited, I'm prepared for the denial...
P.S I got on my meds and is feeling better... Till next time...bye
Tiffany
Depression
Feb 01, 2008
Depression is a bitch. I have had it so bad this past week. Flippin crying like every day. I went to see my mom yesterday and when I pulled up at her place of work I just started crying so I left to dry my eyes, came back went inside and when I sat down next to her I just started crying again. After I left her I went to see my best friend. I was fine at first but when I started to tell her I was feeling depressed I started crying again. This sucks. So far no tears today, but I just want to get it out of my system. Well we'll see how I do.
Oh I did finally get my fat ass up and I rode my horse today for a little bit, that silly bitch almost threw me off of her.....lol, but It made me feel better today to get on her
This is the begining of my Journey.
Jan 31, 2008
So I went to the Dr. today (1-31-08), cried my little eyes out and left with him getting ready to send a refferal to my insurance company. YAY.
