I posted this awhile back and later felt that the issue had resolved itself and wasn't what I thought it to be. Looks like I may have been wrong.

So here goes..

I've received conflicting answers from UHC regarding my requirements. There are the typical; BMI, 6 month supervised diet and psych eval. All of which I have completed and my file is in the process of being submitted. I'm this close!!! And boom....I hit a big @ss brick wall that has knocked me off my feet this afternoon.

I called insurance to see if they'd received my file. While on the phone we discussed my requirements, etc. The rep then mentioned receiving authorization 6 months PRIOR to surgery. Curious of his answer, I asked him to convey his perception of that statement. Which he did, and I did not like. I then asked him that IF I were to be approved, let's say next Wednesday, does that mean I have to wait an ADDITIONAL 6 months before I can actually have surgery? So, like...August??? His response was yes. This whole scenario makes absolutely no sense to me. Why? Why make a patient bust their rump for 6 months to prove that they CAN follow guidelines set by their provider/nut but receive little to no result? Why have a patient see a psychiatrist, get the go ahead and then wait an additional 6 months? I'm not saying it will, but there is a lot that can happen in a 6 month period. I can honestly say that when my father passed away in 2012, I would not have been emotionally stable if you will, to follow protocol after surgery.

Up until today, I have been under the impression/hopes of having surgery in early March. I have put in my time and done what has been asked of me. And this news has rocked my world. No it's not the worst case scenario. Yes, I can put on my big girl panties and wait the required time. Yes I am even lucky for the fact that my insurance actually covers this. But I simply do not want to. And that is okay. Please do not ridicule me for being upset over this. I guarantee most of you would be just as disappointed if you were almost there and had the carpet ripped right out from under you.

And yes- when I first started this process I did inform my benefits coordinator at the office of what I was told. She said it did not sound correct and she thought the rep had misunderstood what they were reading to me. I spoke with another rep a couple of months later, and she told me that I did NOT have to wait 6 months. However, I will be calling my coordinator tomorrow to request that she call UHC and discuss this with them. When she initially called to verify my benefits, they never mentioned this to her either.

I'm just having a pity party, okay? And in an effort to avoid a bad habit I have almost broken...I am trying not to resort to emotional eating. I just want a big friggin donut right now!!!!!! Maybe a cupcake too..

Edited February 1, 201610 yr by sassyfrass23

Congratulations!

Congratulations!

Thank you so much!

I thought I was disappointed before. Now I'm just pissed.

Long story short- after talking with Tonya this morning...my file hasn't even been submitted. UHC must have been looking at my EGD approval when we spoke last night and relayed the wrong information to me. I specifically asked UHC when she told me I had been approved, if it was for Gastric Bypass. She said yes and congratulated me.

This emotional roller coaster is so unfair. And for today...I quit.

Edited February 8, 201610 yr by sassyfrass23

I thought I was disappointed before. Now I'm just pissed.

Long story short- after talking with Tonya this morning...my file hasn't even been submitted. UHC must have been looking at my EGD approval when we spoke last night and relayed the long information to me. I specifically asked UHC when she told me I had been approved, if it was for Gastric Bypass. She said yes and congratulated me.

This emotional roller coaster is so unfair. And for today...I quit.

Oh no I'm so sorry! Totally not fair!!

I'm so sorry to hear that.

Friday's news was less than ideal, but I did leave out a HUGE piece of info that goes with my original post:

After Dari had a conference call with UHC Friday morning, she emailed me later and said that after much discussion with the VP of HR and their UHC rep, they are going to waive the 6 month waiting period. So whenever I am actually approved, I'll be able to schedule my surgery almost immediately (have to allow 2 weeks for preop diet).

I'm in much higher spirits today and have enjoyed some time away this weekend to get my mind off of things.

Thanks again for everyone's support and kind words.

My file SHOULD BE submitted this week....finally. So I will update whenever I hear something

Try to get something in writing regarding the waiver so you don't run into issues down the road.

Try to get something in writing regarding the waiver so you don't run into issues down the road.

I have an email from Dari stating that. Do you think that will suffice?

Geeesh what a mess. I'm so glad you're getting it sorted out and sorry you had to go through this

Geeesh what a mess. I'm so glad you're getting it sorted out and sorry you had to go through this

Ahhh! Thank you! I'll get there one way or another, I suppose! Perseverance..

Ugh. This is so ridiculous! Do they realize they are messing with a real person here? I hate the insurance companies when they pull this kind of stuff. It is just so wrong. Hang in their sassy.

I know, @@Renkoss ! The whole situation floored me. I'm looking forward to surgery.....DEFINITELY! But I'm more anxious to be done with THIS part of the process. I just want to relax and stop wondering if they have received my file, approved my file, denied my file, lost my file...etc.

Try to get something in writing regarding the waiver so you don't run into issues down the road.

I have an email from Dari stating that. Do you think that will suffice?

If possible try to get something from insurance company or hopefully your HR rep may have email from insurance Co.

Friday's news was less than ideal, but I did leave out a HUGE piece of info that goes with my original post:

After Dari had a conference call with UHC Friday morning, she emailed me later and said that after much discussion with the VP of HR and their UHC rep, they are going to waive the 6 month waiting period. So whenever I am actually approved, I'll be able to schedule my surgery almost immediately (have to allow 2 weeks for preop diet).

I'm in much higher spirits today and have enjoyed some time away this weekend to get my mind off of things.

Thanks again for everyone's support and kind words.

My file SHOULD BE submitted this week....finally. So I will update whenever I hear something

That is wonderful news! WOOHOO!

My file was sent to UHC on Friday. I called tonight just for kicks and giggles, but it wasn't showing in the system yet. So I shall try again at a later date!!