erudite_diva

I just found out that my insurance will ONLY cover the sleeve if my BMI is 50 instead mine is 47.8! I am SO ready to scream because I just KNEW this would be a non-issue. So now, my doctor is pushing for the RNY because I don't want to even bother with the Lap Band and all those issues. I am SO disappointed!:thumbup1:

My surgeon also has been pushing for the RNY and recommends it for me. He wouldn't be willing to help me with an appeal anyway.

I thought about appealing but I'm on a tight schedule here. I need this surgery done before school starts since I am a single parent and know I'll have to be unable to drive for a week or more. I also am trying hard to change jobs and while i KNOW my present insurance will cover gastric surgery 100%, I need to go with what I have. If I felt I had time to appeal it, I would but I'm at the point where I'm just needing to be healthy and unfortunately, I don't have the funds to pay. So I have to go with what I know will be paid for and is permanent. I need surgery within the next 3-4 weeks.

What is wrong with me? First, I'm frustrated. Frustrated for a multitude of reasons, not all related to this weight loss journey but certainly impacting it and my lack of progress. Just indicates more work that I need to do internally which makes me a little more afraid. But my frustration is with the fact that I was referred to and chose to go with a doctor in Baltimore though I live in Gaithersburg and a closer center/doctor would have been right near me in Rockville, MD at Shady Grove but that's incidental I suppose. The real frustration is that now I only need to get the upper endoscopy then submit all the information to my insurance company...finally the surgery date which excites me. I am having a hard time getting anyone to take time off their job to drive me to and from this appointment which is rather out of the way for me and anyone I know. Their rules dictate I can't possibly use a cab so I HAVE to find someone to do this for me and it's hard asking folks to take time off their job for me. At any rate, if I have to reschedule this, the next available appointment at this moment will be 7/22 and as a single parent, I'm going to most definitely need this surgery performed before school starts and hopefully while he's visiting with his father for a week. I'm just so frustrated about this because it seems so small but added to the other major life stressers I have right now, makes me almost feel like this might be the straw that broke the camel's back. I wish I could just conveniently switch to a closer doc rather than this one that was referred to me. Yeah, right like that'll ever happen seamlessly even if it made sense. *sigh* I guess I had to vent. Pray for me, send up positive thoughts because I'm so scared about where I am right now emotionally just given some other major life stressers which I pray won't set me up for messing up even after the surgery. *trying to remain as optimistic as I was a month ago*

My spirits are a bit lifted since I FINALLY got a ride for tomorrow!! I got some help locating someone who is willing to ride with me and drive back. YEAH!!! Wow! That really puts me a lot closer to surgery....I'm psyched but definitely trying to get a handle so I can keep my head about my eating. I need to be success-minded. I know this is going to be awesome and life changing.

The dial a ride is a great idea. I looked into car services and medical non emergency transport....can't afford either!! WOW. i wondered if my insurance would cover the medical non emergency transport but because i'm not disabled or elderly, that would be like pulling teeth with my insurance company, I'm sure. I thought about trying to get a doctor closer but that would be too time consuming just to do that when i NEED this done before school starts (fingers crossed) and it is likely I might have the same transportation issue if they also won't let me take a cab.....nobody is going to take time off their job to take me so I may be stuck....I'll have to figure this out VERY quickly. This only adds to my stress and frustration.

oh no GeorgieGIRL...i'm TOTALLY psyched about the surgery and READy for the changes BUT i'm scared because i know RIGHT NOW, i'm not in the best place mentally and THAT scares the hell out of me. I wonder if I'll screw myself in some way because of it. I need to work on this before surgery is even scheduled.

Mila, their protocol is someone HAS to come in with me and they HAVE to come up for me after recovery. So I can't even take a cab which was my plan....SUCKS! Still trying to find someone to drive me tomorrow or I'll have to reschedule and maybe get in two weeks, if i'm lucky.