Hello everyone,
First, I want to say all of you good luck and best wishes. I know my title seemed a little urgent but being an overweighter means that everything is urgent for us, huh?
My question to all of those that can help me is this. I live in the Brooklyn, NY area and was going to have the lap band procedure with the CORI center (Centers for Obesity related illnesses) but am now thinking that maybe I shouldn't because......well, this is my story:
I have been researching the lap band procedure for over a year in NJ (where I used to live) and wanted to have it but couldn't because I had AETNA POS and they wouldn't pay for it. I kinda had given up until I moved back home (NY) and went to a free seminar for CORI. Well, at the time, I had Medicaid and in NY, they're making you choose a provider for your medicaid. There's a listing of maybe 20-25 choices. Well, after the seminar and talking with the staff that works at CORI and the surgeon who has performed (reportedly) over 1000 weight loss surgeries (lap band and gastric bypass), I felt comfortable with the idea of possibly having the surgery. I mean, it had been a year and after the Atkins diet, I hadn't kept off a pound. I'm 30 years old and have been big all my life. My Mother is big, my Dad is big and throughout my lifetime, I've always been a healthy active person but as I get older, it's getting harder to do so. Not to mention that I get bigger over the years. Anyway.....back to my question.
After getting with the Staff there at CORI, they helped me pick a provider that would easily approve the surgery along with the referral from my Primary Physician (wish was a breeze) and everything was good. Part of getting the approval was seeing a Psychiatrist (one time for about 45 mins.), a nutritionist (one time) and having the blood work done to make sure you don't have H-Pylori, etc. Well, all of this has been done and now come to find out, the doctor who had the seminar is on family leave and the staff (reportedly) doesn't know when he's coming back ("it should be after the first of the year")because of this......the doctor who mainly does the lap band surgery, Dr. Schedknuct is overbooked with the other doctor's clients, etc. It's a mess. I have a hard time understanding the fact that the staff doesn't know exactly when the doctor's coming back and of course, I'm now very hurt and impatiently waiting because I have done all of what I was supposed to do and now can't even get an appointment to discuss a surgery date. The seminar was in September. Also, my patient care coordinator at CORI called me 3 days ago to tell me that there was a problem with the contract at Victory Memorial Hospital and the insurance that I chose (Affinity Medicaid) so now I have to change carriers because even though the doctor takes the insurance, the hospital where the surgery will be performed doesn't, now. It's all so crazy, now. I am so pissed off. To choose another insurance that Medicaid offers would have to coincide with CORI and my primary physician and it looks like I'm only left with HIP or GHI. I've read on this site that GHI says no and then you have to appeal. I don't want to drag this out any longer. I feel hopeless. HIP sucks because you have to go their doctors unless you're going to a specialist and I want desperately to keep my primary physician. What should I do? Does anyone know any other physicians locally that takes Affinity Medicaid that comes highly recommended?