I logged in to check on the status of my claims & authorizations today.

24 hours after the request for surgery popped up on the screen, it now says "not approved" and "does not meet requirements".

I'd like to know exactly what requirements I don't meet. According to my surgeon, pcm, and my own knowledge of my body, I surely do meet requirements.

My friend who has the same insurance and went to the same surgeon for a band in February, was 1/4" taller than me and 3lbs heavier with the same BMI & same co-morbidities and she had approval in less than a week.

I must just be "special". :thumbup: I get that a lot.

I bet my "Spidey Sense" about rocking the boat with the request going in earlier than the surgeon usually sends it must have been right. One time I would've liked to have been wrong!

I wish the woman I spoke with at the surgeon's office would not have sent it over when she did. I didn't ask her to - she said she'd do it. I thought I was completely approved & I called because I wanted to try & schedule some of the excessive pre-op appointments.

I reeeeallly don't get it - the insurance company approved the consultation, the endoscopy I have coming up in a couple of weeks, and multiple follow-up visits (when I first saw that those things were approved, I mistakenly thought that the extra visits included surgery & follow-up to that too).

Why would they say that I do meet requirements for those things & agree to pay for 'em, then say "oh no, you can't go any further". Puh-lease. They know darn good & well that the ultimate goal of a consult, etc w/ a bariatric surgeon is...surgery!

Sooo, that whole emotional yo-yo thing I mentioned recently...yoooooo down we go.

Great. Got tons of super news today. Yep, my DH is trying to have some R&R before the upcoming deployment (along with about half the members of the crew), but people from his work still manage to call him about whatever crisis is going on. The latest one will most likely have them deploying a few days/a week early. Dandy.

(My DH is one of the senior officers in his command, that's why he gets pestered, at home, when he's supposed to have a day off, if we go out of town, etc.)

I finally tracked down a Psychiatrist to do my consult with. I spoke with him for a few minutes this morning. Of course, he can't fit me in while my DH has time off & can watch our child. Even though I planned on paying out of pocket, he wants me to call the insurance company to see if they'll pick up the tab.

I really don't want to, especially in light of what happened today. I'm one of those honest types who just can't fib to him & say that I did it when I didn't. For all I know, if I said I just didn't want to call 'em, that might somehow reflect negatively on me. :wub:

On a side note, I gave him the list of the *five* things Dr. Oh requires from a psych consult and he said he was going to call & talk with them about it, because he thought it was "a bit excessive"! A-ha! So do I. So. Do. I. :smile:

I feel like I've got a soup sandwich on my hands here. Two steps forward, three steps back. Terribly afraid that the meager amount of progress I've made in this whole process is going to slip away.

The scale has finally started to move in the right direction towards that 10% weight loss that the surgeon requires. What happens now? If I continue trying to lose for Dr. Oh, then everything really does go down the tubes and I have to start over (who the heck knows how or with what doctor), I might actually have to gain to get back up to where I need to be.

Good grief. This is messing with my head so much. Why can't it be somewhat straightforward. Give me a plan or a list & I'm all over it. String me along & keep secrets from me & I'm more apt to fail and walk away PEEVED! :biggrin:

P.S. Big mean insurance company, I despise you right now.

love, me