View Full Version : Will I get approved for surgery the first time?
02-06-2011, 12:47 AM
I am still in the process of getting all the pre-op testing done but by March 1st, the surgeon will be submitting the paperwork to insurance for approval. I guess I should mention this is for bariatric surgery, particularly a duodenal switch. I satisfy the medically necessary requirement but dealing with the insurance side of it is never easy and there is the possibility that I will have to go through an appeal or two to get approved. I would like to get approved the first time though and to that end, my primary care doc and my surgeon (and me!) are getting a comprehensive package together that more than shows the medical need for this surgery. My company is self funded but as of this year they have switched to another type of insurance that emphasizes prevention. They also changed the 'no bariatric' exclusion to include the possibility of getting approved if a 6 month medically supervised diet is unsuccessful and medical necessity exists. I have all the documented paperwork that includes a failed 6 month weight loss program administered by my doctor so I meet the new stipulation. This still doesn't guarantee approval the first time out so I decided to do an horary chart.
Since this is about surgery, I am using the sixth house, which has Aquarius on the cusp making Saturn the significator. Virgo rising provides the other significator and Mercury is approaching to a trine with Saturn. But before that happens, it needs to get past Mars and the Sun so I am not sure how to read this. Then I thought about it and this is a question about insurance - other people's money so I looked at the 8th house and Aries is on the cusp. Mercury is approaching to a conjunction with Mars but Mars is under the rays of the Sun, which is separating. There are no other planets between Mercury and Mars so that's good but Mars under the rays of the Sun cannot be good. Then I thought about it some more and I decided that insurance is a benefit and part of my compensation package and perhaps the 8th house isn't necessarily the correct house to use, but I'm not sure. I would appreciate it if someone smarter than me could figure this chart out. Thanks!!!
04-18-2011, 09:56 AM
Any update on this question?
04-18-2011, 10:17 AM
What timing you have. I still haven't had the bariatric surgery and as a matter of fact I haven't even gone through the insurance approval yet because during the pre-op testing, my calcium tested high and I was diagnosed with hyperparathyroidism. I had the tumor surgically removed on April first but when the surgeon opened my neck, he noticed a mass in my thyroid so my minor little surgery turned into a three hour ordeal. As you mentioned, my chart showed a skilled surgeon and this surgeon is very skilled in thyroid surgery so he was able to remove the mass and the parathyroid adenoma without further complications. The mass turned out to be a oncocytic metaplasia and the biopsy of a lymph node he also removed showed no cancer so I dodged a bullet there, although I was diagnosed with Hashimoto's Disease which I suspected I had.
Then last Thursday I woke up and discovered I had vertigo. The same OTL was able to see me that day and told me one of the stones in the inner ear came loose and was causing the vertigo. This morning I am going to physical therapy to manipulate my head so that we can get this vertigo taken care of. This supposedly works in one session about 90% of the time so I am hopeful the spinning will end today because it is truly awful.
I am really hoping this is the end of the health issues because I don't think I can stand much more of this. It has delayed the bariatric surgery because I have to recuperate and I am fine with that but it seems like this surgery keeps moving out of my reach and I wonder if I will ever be able to get it. If everything falls into place and insurance approves me, not something I am counting on right now, I could get it in July or August or soon after. But insurance being what it is, I am starting to wonder if I will get approved at all.
I have to tell you while I was undergoing the first surgery I was comforted by what you said about the surgeon being skilled. Parathyroid surgery can be disasterous in the wrong hands and the doctor I wanted to go to (the world leader in parathyroid surgery in Tampa) would not take my insurance so I had to find a local surgeon and I was very nervous about finding someone competent. Turns out I could not have had a better surgeon for the complications I had so your prediction of a skilled surgeon was correct, although it was for a different surgery. Thank you for your insightful interpretation of my chart. Even though it was supposed to be for the bariatric surgery, I had no doubt that what you said applied to the OTL surgeon considering the complications. If I am lucky enough to get approved by my insurance for the bariatric surgery, I will continue to feel confident that the surgeon will be skilled.
04-18-2011, 10:24 AM
thanks for your update; the Pauline profection from your other thread did indeed indicate that this is the year for resolving your health problems, and it does seem that its turning out that way! Keep your spirits up, your health I think is on the ascending part of the Wheel of the Cosmos!
04-18-2011, 10:34 AM
Thank you so much! I feel like one of those historic houses you see on these home improvement programs suffering from deferred maintenance. Saturn rx certainly has brought back issues that have been deferred for too long. Later this week I see yet another OTL for my sinus issues. Might as well get as much taken care of as I can. The bariatric surgery certainly would resolve future issues but right now Saturn is making me deal with more immediate concerns. Perhaps once it goes direct the bariatric surgery will seem more attainable. Thanks again for all your help! :lol:
04-18-2011, 11:43 AM
sugery is 8th house not 6th..
04-18-2011, 12:00 PM
Then Mercury would be applying to a conjunction to Mars in the 6th house. Would that provide a yes answer to the original question? There is a 13 degree separation between them but this surgery has already been delayed.
04-18-2011, 12:06 PM
mars reaches saturn first - interference
04-18-2011, 06:58 PM
Well I've certainly had plenty of that!! Saturn rx has done nothing but interfere. First the parathyroid tumor, then the thyroid mass, and now the vertigo. This week I see another surgeon about my sinus condition. It seems never ending. The bariatric surgery has already been delayed because of all this and it has been frustrating. The delay is due to another surgery (Mars), possibly two if I decide to do the sinuplasty (again Mars) and both surgeries are for longstanding health issues (Saturn transiting my 6th house) so I think we are seeing quintessential Mars and Saturn at work here. The vertigo is interesting and I think reflects what is going on with Mars ruling my head and Saturn rx in Libra showing the imbalance, very literally in this case. I suppose the fact that Mars applies to a trine to Saturn has kept the results positive although it has still been very frustrating. I am afraid to think of the results if Mars was applying to a square. I am hoping to see some progress with the bariatric surgery once Saturn goes direct. Thank you for your input!!
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