Insurance DENIED - Double Yay!

Sad call yesterday from Sandra at Alvarado telling me that I was once again denied. This time for lack of a nutritional analysis and diet history.

This threw me for a loop as no one had ever told me I had to have a nutritional analysis (by a certified dietician) and I thought (and confirmed with Sandra) that the recent fax pack sent into Intracorp was nothing but a diet history. Or else, what have I been doing for the last six months getting weighed and talking to my doctor about food and exercise and ARRGG!

I was in tears. Wish I wasn't so stupidly emotional when I should be more put together and logical, but dammit - I just know insurance is trying to string me along until I give up and they don't have to pay.

Yesterday I went from crushed to very angry. Looked through all my paperwork and could find no sign that a nutritional evaluation or analysis was requested or required. I was sure that something was wrong. I called a lawyer and am supposed to talk with him about my case tomorrow.

Today, much more clear-headed. I got everything together to make sure I have a complete file. Called Evil Intracorp again, and had Gina fax me the criteria their doctors use to evaluate a case for pre-certification.

In good news: My mother's surgery was approved. She has a different insurance company than me, so... that's awesome. Wish I had her insurance.

Other good news: In getting a complete copy of my file I have nabbed a copy of my psychologist's report on whether I'm insane or not. Very interesting read. I found it fascinating how he constantly seemed to describe me and my brain, and then quickly say that although it sounds like he's saying I'm insane, I'm not.

Tidbit 1: "In college she developed an ability to look happy on the outside in order to socialize, but she dealt with the pain of 'invisibility' on the inside. While this may sound like the spliiting of the Borderline Personality, it is also quite common with obese people."

Tidbit 2: "She may also experience mood swings involving anxiety and depression that she has attempted to medicate with food over the years. This throws her into the vicious cycle of helplessness and hopeless countered by efforts to appear outgoing and in control. This does not indicate sever personality or clinical pathology however."

He even states, as I always love to hear, that I'm extremely intelligent and quite likeable.

Now if only Evil Intracorp would realize that and just approve based on my intelligent likeability.

One last Tidbit from my psych eval regarding weight and work: "She is convinced that she cannot get a better job because of her obesity. There is certainly scientific evidence to support this claim, as people are often overlooked in hiring and promotion due to attitudes toward obesity."

I've always loved being analyzed, I wish I could afford psychotherapy on a regular basis. I'm fascinated with how my brain and emotions work.


What's Next? Well, I'm going to talk to the lawyer as soon as I get my denial letter from Evil Intracorp. Though, at this point, I've found the small print regarding my current problem, so maybe he can just help me see if there's anymore small print I might've missed. I've got an appointment to meet with a certified dietician on Wednesday, and as soon as I get that done, Sandra at Alvarado will fax everything again. Ahh... the joy of pre-certification. Gah.