Full of rage!

[fallingwhisper 187]

I started the process to get my surgery in January 2012. After doing 6 month of supervise diet and exercise, my insurance dropped their weight loss surgery benefit and I had to stop. Paying out of pocket is not an option for me, because I have terrible credit from past Er visits and things of that nature. A month after that I got a new job, with great health insurance. The doctor that I was seeing before was not considered an in network provider, so I had to choose a new doctor about 80 miles away. By the time I got my insurance cards and made the appointment, most of the nutrition and other things I had done expired. The only thing that carried over was my psyche eval. With my new insurance, Aetna, they said I only needed 3 months of nutrition and an Egd. My weights and Co morbities covered the rest of it. My caseworker for my surgeon told me that I could use a nutritionist in my city, as long as she was qualified and worked with other bariatric patients. For October, November, and December I saw the nutritionist that worked with my first surgeon. my caseworker looked over her credentials, and said that she was fine and would be no problem to work with. They finally submitted everything to insurance on January 11th, and I was told to patiently wait until the 18th to call to see if I was approved. When I called they said I was denied because I did not complete the 3 month Nutrition appointments. When I talk to my case manager (who took almost 10 days to get back to me) she said that I was denied because my nutritionist didn't work with the surgeon that I was using. Now they're saying that I need 3 more months of nutrition appointments with their dietitian. I am so incredibly mad and frustrated because it seems like every time I get close to having surgery, it gets taken away because of something. If I wasn't 300 pounds and unable to lose the weight, I would just give up. Things like this just don't make it seem worth it.

[BigFatLoser 331]

Another few months in exchange for the rest of your life. You can do this.

[fallingwhisper 187]

I was telling myself that, but I'm just tired of a few months turning into a few more and then only 6 more! I can't help but think that I would be 7 months out by now if my luck wasn't terrible

[LaceSleeve 76]

I feel you. It took me 2 years to get everything done to get approved due to insurance changes. But it's worth it!! Hang in there

[katieboo 25]

i can see why u r angry. i can't help think it might be motivated my "fee generation". you have come so far i hope you stick it out.

[Jen35 283]

That is so frustrating! Especially when you did everything you were supposed to do. You checked with the coordinator that the Nutritionist was okay. It might be worth the 80 mile drive to go to their office for the appointments just to be sure. Don't give up. You are so close!

I'm going back and forth with the coordinator and the insurance right now and I'm going crazy. The office was so wonderful up to the point of submitting to the insurance. Now they are dragging their feet, not getting back to me, etc.