June 21, 2006

  • Last attempt…

    Well, I got the letter from the Director of Bariatrics and the dietician notes on diet/nutrition plans for pre-op/post-op and the exercise recommendations.  Hopefully this, along with the other 60+ pages that I faxed to my insurance this morning, will be enough to get me approved!

     

    I’m at the end of my rope here though.  I don’t know how much more strength I have left with this whole thing now.  If they deny me…well, I WILL find another way to get my surgery…but I’m not going through this again with insurance.  This has got to be the most rediculous process I’ve ever experienced.  I’ve got more than 4 physicians stating that this procedure is “medically necessary” and I’m having to deal with petty bullshit being requested by my insurance.  What do I pay them for again?

     

    I’m just saying that if it were ANY other surgery…this would NOT be happening.  I would only need ONE doctor to state that I need the surgery and submitt a request for pre-authorization and I would get it…but not with this.  Nope…it has to be the most elaborate process EVER.

     

    Sorry…I had to get that off of my chest.

     

    I appreciate your support on all of this…it’s NOT been an easy journey for me at ALL.  I haven’t exactly been easy to live with here lately either and I owe my husband an apology for my comments as of late.  I’m just very frustrated and tired…mostly tired.  I’ve been trying my hardest to be optimistic about this whole thing…but I must say that it’s been a difficult task for me.  I feel as if every step forward I make, something pushes me three steps back.  That’s not easy for me to handle considering I like to have control in my life and lately, that hasn’t been in my hands.  I don’t like the fact that someone else is trying to decide my fate in life on whether or not I’ll be alive this time next year…nope, I don’t like one little bit.

     

    This is the very reason why I’ve decided that no matter what the insurance decides…I will have the final decision.  I WILL find a way to have this surgery…somehow…someway…I will make it happen.

     

    But for now…I wait some more on whether or not it will be covered.  I’ll let ya know what I find out…shouldn’t be too long now.

     

    Thanks for putting up with me.

     

Comments (6)

  • I’m sorry I hope everything works out. Ic an only imagine I work in the financial office of the Mayo Clinic, and all the insurance stuff, figuring out what they cover and everything else, is just way too elaborate it seems

  • We love you Maria! Everything will work out, I’m sure!

  • Just don’t robbing no bank to get the money now, ya hear?  

    Just kidding.  *hugs*

    I know there’s nothing we can say to make you feel better.  Just know that we’re hear to listen.  Feel free to rant as much as necessary.  I don’t care what anyone says, that ALWAYS makes me feel better. 

  • No apology needed, my love… I vowed to support you through “sickness and health”… if we just have to weather the first to get to the second, so be it.

  • You are so right when you say that if it was some other life-threatening illness, there’d be no question about whether or not it should be covered. I can only begin to imagine how frustrating this whole process has been. They just have to cover it … and that’s all there is to it!

  • but now… well, I’ll leave that to you to share. Love you!

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