Thursday, September 24, 2009

One Step Closer

Well folks, we are one step closer. I know it's surreal right that so much has actually happened so quick.

I just spoke to my awesome Care Advocate at Cigna and she said they have decided to temporarily switch my network to one within Cigna that San Diego dr is a part of. This will go into effect October 1, just one week from today.

On that date, she will be able to submit my referral request to be treated by San Diego dr and then this new medical group will have 3-5 days to approve or deny based on medical necessity. (This paperwork can't be submitted until I'm actually a part of the group.)

From what I can figure, it seems as if getting it approved shouldn't be a problem seeing as San Diego dr is part of the new group and has already written a letter stating my medical necessity and his word will now mean more since he will be considered a network doctor.

So what this all means is that theoretically I could get an approval the second week in October and be scheduling surgery ASAP.

It's all so exciting and I'm just so pleasantly surprised with how easy this has been since we got the hubs HR person involved and the Big Car Company's Cigna rep involved. The woman I've been dealing with has not only been diligent in her job but so genuinely compassionate and concerned. She even thanked me today for giving her the opportunity to help me!!! It's all just so foreign to what we've been experiencing up to this point. I'm definitely going to be sending her something big in thanks!

I'm still trying to stay cautiously optimistic just in case. So keep those fingers crossed and prayers coming that we make it through this final step and that we will hopefully be making an appointment for surgery soon...

5 comments:

Sarah @ When two becomes three... said...

Since I just started following, I was wondering if you have a post outlining what your surgery will entail? By the sound of this post, it looks like it won't be long until you get a date!

Natalia Ritchie said...

I'm staying positive for you! Hope that date comes really soon, looks like things are really moving forward! xoxo

Jayne said...

I'm rooting for you, hon. You go get 'em girl! All prayers and thoughts are with you.

Mrs.Newton said...

What an answer to prayer! A long time coming, BUT finally some much deserved good is heading your way. Fingers, toes & everything else crossed that the rest of this journey will go as smooth as it has been going in the past couple of weeks. The rest of your life, here you come! XOXO

todd storch said...

any update on this approval??? This is big!!

Sorry to hear things have been 'not so good' the last couple of months :-/

Always thinking of you....