HeidiW

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Ok so I sent an appeal to the insurance company and they got it...instead of my status on my authorization request saying NOT APPROVED it now says pending review...I am now getting nervous again and am starting to get excited...keep your fingers crossed and prayers open...this would be the Christmas gift of a lifetime for me!!

Well for some odd reason they did in fact deny me....They said that I didn't meet their requirements(which I do)..The wonderful woman Theresa that works at the front desk of the office said they think that the person who reviewed might be new and following the books tight with no normal exceptions that the insurance company gives. I have to appeal it and write a letter asking for them to reconsider their decision...I will know an answer within 60 days of my appeal...My surgeon is sending me a letter to include with mine saying that I meet and surpass all requirements of the federal board of surgeons or whatever it is...Once they get it and the appeal has been noted on record my surgeon is going to call the director and I was basically told by the end Tricare and the director will know and remember his name(my surgeons) He thinks this is crap and is actually upset with tricare for denying me. He said he will do everything necessary to get the approval and get this done.

After thinking about it and knowing that everything happens for a reason, I think that maybe god is telling me I need to wait until after the holidays to do it rather than right before. Maybe it was going to be to hard for me to resist food at thanksgiving or that I need not to be in pain or have this done right before an important family gathering like thanksgiving and christmas, and of course beings that my birthday is the 5th of January and I will be 30 maybe he is telling me to do it after that...a fresh start in a new year and a new decade of my life..

I am keeping a positive heart with all of this and know that I WILL get it at the right time!!

Thanks you all for the support and the kind words I have gotten in private messages...it definitely feels good knowing that there are people out there that are thinking of you and are sending their prayers your way!!

God bless you all!!!

Well, I was supposed to have my surgery this coming Tuesday but for some strange reason my insurance denied last minute.  Since Monday is a holiday there was nothing we can do so I had to cancel surgery.  my surgeon is going to call them on Tuesday and see what is going on...we are all baffled really as to why I was denied.  We did everything by the book and just how they like it and I meet all the requirements...BMI of 40 or higher, 41 to be exact, I have sleep apnea, acid reflux, high BP....so we have no idea what is going on...needless to say I am very depressed...I hate it when i do that to myself....get all excited and get my hopes up and everything and then my luck WHAMO crushed like a bug....


Anyway i will posted again when I know what is going on!