First I want to thank all of you for your support to my emotional missive. I'm feeling better, but still can't believe all this. You do like me, you really, really like me!
I really do appreciate the support. You have all been so patient with me (jeez, it's only been like what, 2 years!?)
I called my surgeons office to let them know what's going on. I told them the only things I'm lacking (according to the ins. co) is a report from the dietician (of which I received the referral and making the appointment), and the 6 month followup with my doctor. They told me to contact the state's Department of Managed Health Care. I did, and they said I do have a legitimate complaint, and have started a file on me.
They are sending me a packet this next week to complete and get back to them ASAP (just what I need, more paperwork).
Now, here's the deal. The state agency has 30 days to do their research and contact the insurance company. The insurance company then has something like 3 days to comply with their findings (which is mandated by law). So, in other words, if the insurance company is told I qualify, then they have to approve me. Note - the surgeons office is very much aware of this insurance company, and every person who filed a complaint was approved for the surgery. It's my understanding the 6 month "rule" is not required in California, and that's the only sticking point.
I also asked the surgeons office about my pre-op. The chest x-ray is good for six months (so I'm good till April). However, I will most likely need another EKG.
So, there it is, that's where I'm at right now.
Thanks!