Guest guest Posted April 26, 2001 Report Share Posted April 26, 2001 HI All, Just an update on what's going on with my " quest for approval " . I made my " check-up " calls today. Here's what I found out: 1. Riverside Hospital (the place where I had my gastric stapling in 1980) has gone back into the archives and finally found my surgical records and I should have them in a day or two. 2. I called my contact, Tammy, at Cigna Ins. Co. and she told me that the Medical Director was sending Dr. Hess' report and my letters, pictures etc.,to (I think she called it), a Medical Review Board. She said it would be about a week before I would get a determination and she would call me first thing she heard. Does anyone know what this means (maybe just a reason to back up a no?) Or maybe it could mean that they are taking my request seriously (and the increasing requests of others)for the BPD/DS surgery. 3. My doctor has agreed to sign a letter I wrote (thanks to a sweet soul, LeeAnn, whose letter to her insurance co. she let me use as a basis for mine). She even thanked me for typing it up for her. She said she'd have her secretary type it up again on their letterhead and sent it to me so I could have it for my consult. 4. The cardiologist said he had heard of the DS and was glad to give me a letter for the insurance co. requesting I be approved for the DS. 5. I will be lining up the Doctor who does my sleep apnea test and my nephrologist to also write up a letter of recommentation. So with Dr. Hess' letter, that's 1 Dr. and 4 specialist who are willing to recommend I have the BPD/DS. Surely the insurance co. can't ingnore all 5! 6. And last but best of all, my consult has been moved up to May 24th (from June 28th)! YEAH! Only I'll be seeing Dr. Oakley instead of Dr. Hess. Dr. Oakley has just recently joined Dr. Hess' office if I understand it correctly. Has anyone had surgery with Dr. Oakley? I'm sure if he's in with Dr. Hess he must be a very good surgeon. Anyway, I feel like slowly but surely I'm getting somewhere. I'll feel a heck of a whole lot better though when I have that final approval from Cigna! Keep it in your prayers, they've been heard before and I feel confident they'll be heard again! Thanks to all! Cautiously excited, Angel Quote Link to comment Share on other sites More sharing options...
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