Feeling devastated

[Kay07 734]

So I had my appointment with the Surgeon, and the first thing she tells me is that my insurance is changing their policies effective 4/15/18 to requiring 6 months supervised dietician visits. Because I am completely done with everything needed, she felt terrible. I’m rushing to get my pcp to send a letter stating I’m healthy for surgery in hopes that we can get the approval before the deadline, but I’m ready to cry. Getting to the end and having them tell me I might have to wait until August is heartbreaking.

PRAYING that my paperwork is submitted tomorrow with no issues and is approved before they implement this policy.

Going to go cry in my car while I wait for my PCP to call back.....

[TiggerFan72 10]

Praying with you!

Sent from my LG-M210 using BariatricPal mobile app

[hotmessmom 12]

Awe praying girl I would be devastated too

[Aworknprogress 35]

I hope it all works out in ur favor...that's not fair though hopefully they can waive it for you since you have come so far

[Luisajfc 402]

That is some bs... hope everything works on your favor . 🤞🏽

[BrandiLynn 45]

I am praying for you, too.

I had a set back last year when my employer switched insurance companies at open enrollment. They went from an *** that covered it with co-morbidity to one that only covered it with very serious co-morbidity. I ended up switching to the PPO option which was easier to qualify than the original but my co-payment went from $250 total to $2879 paid so far (I am still getting bills). This was very stressful, and to think if I had just started my 6 month diet 2 months earlier I could have saved over $2500.

Sorry, this was about you. I am pulling for you!

[aNYCdb 310]

27 minutes ago, Kay07 said:

So I had my appointment with the Surgeon, and the first thing she tells me is that my insurance is changing their policies effective 4/15/18 to requiring 6 months supervised dietician visits. Because I am completely done with everything needed, she felt terrible. I’m rushing to get my pcp to send a letter stating I’m healthy for surgery in hopes that we can get the approval before the deadline, but I’m ready to cry. Getting to the end and having them tell me I might have to wait until August is heartbreaking.

PRAYING that my paperwork is submitted tomorrow with no issues and is approved before they implement this policy.

Going to go cry in my car while I wait for my PCP to call back.....

If for some reason you have an issue, most insurance companies will also accept a signed form from either your surgeon or PCP in lieu of a class. Depending on the schedule this may at least cut the number of classes you need to do if you are forced to.

[Creekimp13 5,840]

While I understand your frustration....even worst case scenario....6 months isn't that long when you're talking about a life changing decision.

Also, using those six months to lose 30 or so pounds will make reaching goal that much easier after surgery.

Lifestyle changes are hard. Working on them hard before surgery pays off.

Don't mean to be insensitive....just trying to see it from another point of view.

Good luck however it turns out:)

[Orchids&Dragons 9,047]

My heart goes out to you. Hope it works out all right.

[Mnhcb 2]

I know the feeling. Im

not sure what insurance you have but i know i had one of the BCBS reps in my pre-op post off class. She said to fight it if it’s not improved. As a matter of fact I would go ahead or even had my PCP and bariatic surgeon to submit a personal statement pledging your case. You only recently found out this and everything is complete. Wollow for a few minutes but be proactive with the Statements. Again this came personally from an insurance rep. Even though August is not that long when you have your mind set on something and anticipation high, August seems far off. Believe me I know that’s why o elected to lay for my surgery but my situation is a little different. My circumstance was I changed insurance and I was not willing to wait as I had everything completed. Howeve defintley fight for yours!!!

[FluffyChix 17,415]

I'm sorry you just learned this! ((hugs))

But, if that does happen, you will handle it. It's the switching in mid-stream and adjusting your expectations in the middle of the process.

This happened to me. I was denied first time and told I had to do another 3 months. But in the end, the time passed quickly. And I was approved the next time. Just hang out here and post a bunch!!!

[Kay07 734]

Thanks everyone! I've put my big girl pants back on and going to do everything I can to get that paperwork submitted. If for some reason I get denied, I'll appeal but in the mean time keep up with the plan. August feels so far, but the truth is it would probably be later than that unless I can get the first week. September through January (minus xmas break) are insane at work, and I am pretty sure my team would kill me if I was out for a few weeks.

On the plus side, if it DOES go through, I am looking at an early May surgery date. I am also down 17lbs!!! I mean if you subtract the 9lbs I ADDED switching to this diet, I am only technically down 8lbs but I'll freaking take it!

[newmebithebypass 713]

oh hon im sorry that sucks but yeah insurance companies are something else arent they. but hey it will all work out in the end ok

[KatFight 207]

I’m so sorry that you received this news. Had I gotten everything done except my pcp letter, I would have had a meltdown too. It is a lot to go through to get to that point only to find there’s been a change that messes up the timeframe you thought you were working with. Hang in there. I’m hoping something happens soon that will allow you to get your surgery in May. Prayers and warm wishes sent your way. 🌻

[elforman 234]

When things like this would happen, my mother used to say "Everything happens for a reason" or "That must be how god wanted it." She died 22 years ago and while I still miss her, I do not miss her saying stupid **** like that. She dealt with everything on an emotional and spiritual level. But you know what? Sometimes **** happens, and it can hurt, but you just have to deal with it and move on.

After being raised with stuff like that I taught my kids that when something bad happens, go ahead and let yourself experience the emotions you're feeling, but do it quickly then put them aside and address the problem immediately and with a clear head. There's always plenty of time to get emotional later.