42 Y.o. and Have Been Needing This for a Long Time
I am 42, 5'2" and currently 140 lbs. I am a 32 HH....
I am 42, 5'2" and currently 140 lbs. I am a 32 HH. I have met with an ANP and she took my measurements and has submitted all of the paperwork and photos to my insurance. I have CIGNA, and I have heard that they are difficult to get approval from. Of course, she said that we could appeal if I get denied, so I am already planning for that. I suffer from chronic shoulder, neck, and back pain. I have been going to a chiropractor for about two months now, it gives some relief, but it is only temporary. I am still waiting to hear back from her. She did say that it could take a couple of months before she hears anything back from them. I saw her Feb. 24. I really hope that I get approved for this. I am so sick and tired of being in pain all of the time.
Just Checking In
I have tried calling the ANP that I saw and I still have not heard anything back yet. I guess she has not heard anything from the insurance company. It has been six weeks since I saw her, so I guess I will give her a couple more weeks before I try again. I am getting really edgy waiting to hear something back from her. My regular practitioner wrote a letter of recommendation, and I think that maybe she did too. She did tell me that she thought that I was an excellent candidate for the surgery since I didn't have any other serious health problems and the weight of my breasts were causing poor posture and that they were too big for my frame, not to mention the pain that I'm in constantly. I'm really hoping that I don't have to jump through any hoops for the insurance company, but I will do what I have to do to get them to pay for it.
I still have not heard anything back yet. This is really starting to get aggravating. I'm going to call my insurance company myself and see what is going on. I plan on doing that tomorrow during my lunch break. There is a rumor going around that we may be switching insurance companies in July. We might be going to BC/BS. I wonder if they will be any better to deal with. I won't get an appointment with a PS until insurance approves it.
Finally found out what's going on
Well, I called my insurance company and what they told me did not make me happy. They told me that they never received anything from the Dr.'s office! I was SO upset. But I'm trying to look at it like a blessing in disguise. When I went for my initial consult I had just started going to my chiropractor. I talked to a really nice lady that handles all of the precertification work and she told me to get all of my records and x-rays from my chiropractor. She said that as soon as she gets it she will submit it to my insurance. Now I have been going to the chiropractor for about 2 1/2 months now. I have an appointment tomorrow so I will pick everything up then and get it faxed/mailed. I read that CIGNA requires you to have physical therapy - does anyone know if going to a chiropractor could count towards that?
I received a message today from Angel, the lady that handles the certification paperwork for the insurance companies. She received everything in the mail and sent everything off to CIGNA. She said that it shouldn't take too long to hear back from them. I'm going to be waiting on pins and needles! But from what I've heard about them, it wouldn't surprise me if I got denied the first time. It's okay though, I'll fight them until I get it. I will not give up. Watch out CIGNA!!!
I am finally approved for my BR surgery! I am so excited. I'm already thinking of all of the things that I need to do to prepare the house, and myself, before surgery. There is so much to do! Right now I have a tentative date of September 23. I am supposed to hear back from the hospital today to confirm the date and to also give me a time for the surgery. I was initially denied, then I wrote a letter to my insurance company. I received my approval letter yesterday.
Pre Op Appointment Set
My doctor's office called and gave me the date and time of my pre op appointment. It is on September 10. That is just around the corner! After that it will be only two weeks before surgery. I am SO excited. This is going to be a late birthday present for me since my b-day is the 7th.
Now Just Counting Down The Days
I had to go and meet with the HR person for my FMLA leave. I have to give my PS a paper to fill out when I go to my pre-op appointment on the 10th. I had to chuckle to myself when I noticed the HR lady glancing down at my chest and trying not to be noticed. Thank goodness I have a long weekend ahead of me. We will be closed Monday for the holiday so I'm hoping that I can finish up the things that I need to do around the house. When I return to work on Tuesday, it will be exactly three weeks before the big day! I can hardly wait!!!
6 More Days!
Wow, I can't believe it. Only 6 more days! The nerves have started setting in of course, lol. I still have a little bit to do around the house. Luckily I will have a lot of help post-op. I just worry about my fiancee because he is disabled and he is going to have a lot put on him. His dad is having hip replacement surgery the day before I have my surgery. His mom will be there to help too, but she can only do so much. I'm more worried about him than myself. My back has been reminding me lately why I've wanted this for so long. It hurts SO bad! I was going to skip my last chiropractor's appointment, but I may have to keep it.
Was this review helpful? 1 other found this helpful