Where Im at now...

Feb 28, 2010

OK........so here I am.......my first post on Obesity Help. 
My journey started back in June 2009.  I went to a lapband seminar.  I thought long and hard about it - did some research and decided I wanted to do it.  My HMO covered the surgery.  Unfortunately, the group I went to for the seminar charge $250 administrative fees that arent chargable to my HMO.  Soooooo I looked some more and found another seminar for lapband that didnt charge the out of pocket fees.  I thought some more and figured Id go for it.  I started my 6 mths of required doctor supervised weight loss visits in August.  I got through those without a major blow to my ego that again I couldnt lose the weight.  I saw my surgeon.  I did my tests.  They submitted the paperwork for authorization.  Thats where the problem started. 
To make a long story short - I was told by my surgeons office I was approved for the surgery and my last step of visiting the surgeon before scheduling the surgery was set.  Then I got a denial letter from my HMO in the mail Friday.  After an afternoon of phone calls, I found out that my surgeons office sent my 6 mths of doctors visits notes and their notes from my first visit to the surgeon to the HMO requesting approval.  BUT they put my weight and BMI incorrectly on the paperwork.  They said I weighed 271 with a 37.8 BMI which was totally incorrect. Thats why they actually denied the request.  At my regular doctors appointment that just happened to be the next day, I was 292 with a 40.73 BMI.  I think they put down 271 instead of 291 - 7.......9.......similar numbers.
Sooooooo here I am.  The surgeons office told me to go to the appointment Wednesday and theyd reweigh me.  They spoke with the HMO and they agreed to allow them to resubmit the paperwork and theyd reconsider.
Of course, with my overanalyzation, is this a sign?  Will they really reconsider?  Im gonna go through with it.  If they dont, then it wasnt meant to be.  I keep praying.  No matter what - Ill be OK.............but I WANT THIS!!!
Anxiety, frustration, anticipation and all other feelings are roaming through my head.  Maybe Ill have good news by the end of the week.

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About Me
Jacksonville, FL
Location
34.0
BMI
Surgery
03/22/2010
Surgery Date
Feb 27, 2010
Member Since

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