Insurance Requirements....complete!
by
, 05-01-2018 at 10:16 PM (2407 Views)
I am so happy to announce all the health insurance requirements are completed. I was especially concerned with the physch evaluation. Initially, I did not want to reveal much of my past. Not because I am ashamed, however, because I believed revealing my past would suggest futher therapy therefore, prolonging the required six months to possibliy eight or twelve months.
Well, I decided to reveal everything, submit a photo timeline of my weight history over the past eighteen years, and just accept the outcome. To my surprise, the psychologist told me I was very well knowledgeable about the surgery and I had a great system in place to relieve stress, boredom, SAD, etc. I am not an emotional or binge eater and all my answers to the 4 - 5 questionnaires were consistent. She completed a few entries and immediately submitted my results and her notes to the insurance coordinator.
All of the aforementioned, last nutrition visit (-13lbs) and psych evaluation, took place 4/24. Today I call the patient navigator just to double check if I had completed everything on my part and the surgeon's requirements. She told me everything appeared to be complete (including the PCP notes with the seventeen issues I submitted to her for discussion). I believe I will need to submit an EKG and cardiac clearance which is not an issue and not required by the insurance company. Also, I want a DEXA scan completed just for my personal records. Now, I just patiently wait for an approval.
I am praying for God's favor because my BMI is 43.1. I have mild sleep apnea, high cholesterol, A1C of 5.2 (close to prediabetes), stress incontinence, and joint pain. (My apology if its TMI)
I will be an empty-nester come August 2018. I want to, no, I WILL live the second half of my life with continued laughter, love, and as a HEALTHY successful nurse.
Thank you all for sharing your journey. I wish every a happy and healthy life.