Wednesday, April 20, 2011

Heard Back from Insurance Company!!

I am on BCBS of TX through my employer. We finally heard back yesterday (fairly quickly actually, just under a week) on what our next steps are to be approved for the surgery:

1. Get a letter of necessity from my primary physician.
2. Follow a 6-month doctor led nutrition program (this is offered at Celebration Health - the location of our surgery).
3. Complete a psych evaluation.

Once I do those three things, the insurance company will provide their preauthorization.

After preauthorization is received, I have to complete these next steps:

1. Set up an appointment with a Celebration Health nurse to determine what clearances I need to complete.
2. Complete required clearances.
3. Set up appointment for pre-op.
4. Schedule SURGERY DATE!!!

I also found out that BCBS of TX DOES cover the gastric sleeve surgery. This is the route I have decided to take. With the sleeve gastrectomy AKA gastric sleeve, they staple and then remove ~ 80% of your stomach. This leaves a banana shaped "sleeve" which causes fullness faster. It also removes the portion of the stomach responsible for creation of a hormone (gherlin I think) that causes hunger and cravings.

I feel this procedure is best for me because I don't have to worry about malabsorption with being pregnant. All three types of surgery allow for healthier pregnancies, and there are ways around the malabsorption while pregnant, but for me, I feel better with the sleeve.

I am SO SO SO SO SO excited. I cannot wait to start feeling better. The journey has started :)

1 comment:

  1. I just had the sleeve last wednesday. Email me with any questions!
    KkmJohnson@hotmail.com

    Kristen

    ReplyDelete