December 5, 2010

Here it is Sunday, December the 5th and I still can't believe what's happened in the past week. Chris from Dr. Lalor's office called me on Thursday, December 2nd to let me know that she resubmitted my paperwork to Anthem BC/BS on Wednesday, December 1st.

She had gotten an email from Anthem stating that they now cover the sleeve as a "stand alone" surgery!

My paperwork was submitted July 29th, and I had gotten a denial letter in September due to the sleeve being considered experimental/investigational. I have been waiting for the surgeon to send an appeal letter for me since that point. I'm just in shock! I called Chris back on Friday the 3rd to ask her when she was scheduling surgeries. She told me that she just started scheduling for February 2011 and that she expects to hear back from Anthem within 2 weeks. That means I should be having my surgery in February if all goes well !!!

I expect to have to redo my bloodwork and chest xray, but I hope that's all. What a great Christmas present!!