Thursday, March 20, 2014

A Blessing in Disguise.

I spoke in my last blog about having to switch to another Medicaid due to the original not being accepted at my doctor's office. This must have been a blessing in disguise. I say this because I was supposed to have my last diet visit today and I knew I had gained over my starting weight. It turns out that the new Medicaid will accept fewer months of dieting and I was at my goal weight in the final month that they will accept. So that is a major stress relief for me!

I still have to get cardiac clearance and pulmonary clearance, but those appointments are two weeks sooner than the  additional psych visit required by the other Medicaid.

In short I am feeling much more positive about my surgery today!



Wednesday, March 19, 2014

Will this Insurance Saga Never End?

As mentioned in my last post, I have had to go on Kentucky Medicaid insurance due to losing my job. I am extremely grateful for this of course, but having Medicaid comes with it's own set of problems.  Originally I had chosen to be on the Humana Caresource managed Medicaid; according to the Humana Caresource insurance, they were In-Network with all of my doctors. Well lo and behold I went to my primary care doctor yesterday,  and the clinic advised me that they are not contracted with my managed Medicaid.  So I had to pay $62.00 out of pocket to see my doctor.....non-refundable.


However,  the silver lining is that I am still within the 30 day grace period which allows me to switch to another managed Medicaid.  After speaking with Lisa, the insurance specialist at my Bariatric Surgeon's office, I found out that they actually accept all forms of managed Medicaid.  Lisa was then so nice that she personally called over to my primary care doctor's clinic, and personally verified which forms of managed Medicaid they accepted there.

After gaining this new knowledge,  I decided to switch to Wellcare. This brings yet more hoops to jump through, but I am hoping I will actually get to have my surgery sooner.

With the Humana Caresource, I was going to have a second Psych Eval and I couldn't get in until almost a month after my last diet visit.

With Wellcare I will have to have Pulmonary and Cardiac clearance. Yet I was able to get into both appointments quickly. I should have no problem getting clearance for either. Even the Pulmonary clearance,  because my Asthma has been stable without medication for years.

I'm still trying to stay positive, but the fact of the matter is that I won't allow myself to hope too much until I am being prepped for surgery.

Thursday, March 6, 2014

More Diagnostics

Today I had some blood work done, and an Upper Gastric Image (UGI). The UGI is to check for stomach ulcers and also possible hernias and acid reflux. It showed that I have acid reflux, but thankfully nothing that should delay my surgery! The radiologist said that I will just be prescribed an antacid. Oh happy day!

In other news I received a callback for a second job interview. I had held my first interview about 1-2 months ago. While I am excited about possibly working at a new job, I am also concerned that it will throw me once again into an insurance nightmare, if I were to get the job. I am so close to getting my surgery, and I don't want anything to jeopardise that. However,  if I am offered the job I can't refuse the job offer, as I will potentially lose my unemployment. Although I am worried about this, I am going to stay positive. I am going to get my surgery.

On a happier note, I got my hair cut and will donate it to Pantene Beautiful Lengths! I am told that Pantene gives their wigs to cancer patients for free. Look at this beautiful beast!