It's Like Waiting For Christmas. Only Not.

Ok.  First off, I really need to stop having multiple posts in a row with similar titles.  Especially since I post infrequently. At best. End tangent (which began before the actual content.  Go me.)

I hope everyone had a good Chrismahannakwanzakah. (and new tangent: OH MY GOD!!!! I CAN'T BELIEVE I FINALLY FOUND THAT VIDEO...I'VE BEEN LOOKING FOR FOREVER).  I had a good one.  I got the tie clip I wanted.  Which made me a very happy panda.  And somewhat embarrassed that it was like getting the Red Rider bb gun you wanted, but never actually got.  Only it was a TIE CLIP.  But for me, the real celebration will come in February.

Back in May, I posted about my rash of symptoms from my sinus issues.  Then in September, I followed up by announcing that I was planning on going under the knife.  Then the whole thing became a nightmare. Like for real-real, not for play-play.

I visited the specialist on the first day my insurance through Hubby's university took effect for the year.  And I'd been told that it wouldn't be an issue.  And presumably it wouldn't have been.  It may still prove to not be one, but I'm not sure.  And it's six months later.  You see, the university takes insurance premiums out at the end of each month.  Starting in September.  Meaning that even though I'd been to the doctor in mid-August, it wouldn't be until the beginning of October before the insurance company would do anything.  Because my account wasn't paid.

This led to receiving multiple letters from the doctor's office demanding payment. Finally it was paid.  At the end of October.  And my doctor's balance went down by only $100 or so.  Because that little camera that was unceremoniously shoved up my nose for a whopping 35 seconds and used to determine the best course of action was classified by my insurance as surgery.  Which they don't cover.  They would if it had been officially ordered by my PCP, which he did.  But that was before the annual insurance switch-over.  I think.  It gets confusing.

Finally, the last week of October, I get the results from the letter of pre-determination that the doctor sent my insurance.  They would cover having my tonsils and adenoids removed, but not having the little doodads fixed (the only procedure that is so quick and basic that they don't even bother putting people under for) or having my septum fixed.  Because those are sinus surgery.  But having my adenoids out (which - at least for me - literally fill my sinuses) was covered.  I'm really not complaining.

I appealed in mid-November.  But they hadn't come to a determination by mid-December, which is the last time I talked to them.  After getting the first letter back from the insurance, I called the specialist to make an appointment.  I figured let's see how necessary he thought the two denied proceedures were (hence why I waited a while to file my appeal) and how much they would cost if I opted to just pay out of pocket.  He couldn't see me until the last week of November (this was late October).  A week before my appointment, the secretary called to inform me that the appointment had been rescheduled for mid-December.  I went in, the appointment lasted five-minutes, I was feeling good about what he had to say, and I walked out with an appointment scheduled for January 7.

I'm sure you're now thoroughly confused.  Because clearly if I'd been hack-and-slashed I'd have been bitching about it here. And on Facebook. And on Twitter. And and via any and every other form of communication I could think of.  I may have even brought the telegraph back out of retirement for that one.  Fortunately, (although extremely frustratingly) the doctor's office had an issue notifying my insurance about my scheduled surgery.  As in the insurance informed them that they had no record of me.  After a very long and confusing call to the insurance company, it was determined that the doctor was notifying the regular insurance, not the student insurance.  Despite what the very-nice-but-not-entirely-with-it secretary told me.  They also informed me that there was an issue with January surgery.  My insurance ended December 31.  Also? My insurance doesn't require advanced notification for surgery.

After calling every answering machine at the university insurance office, I finally managed to reach someone.  Actually the head of the department.  Because she is married to one of my former coworkers.  So I just called him.  Turns out, re-enrollment is automatic and there is no lapse in coverage.  BUT the insurance information isn't sent to the company until January 18.  The deadline for new enrollment.  And the first payment isn't until the end of the month.  Which would have led to the exact same issues with insurance I had back in August.  But at least then they had knowledge that I was covered by their insurance, just not paying my bill yet.

Long story short, I simply rescheduled the surgery and have gotten comfy on the spare bed.  But the countdown is on: 24 more days until surgery!!!!! Then a week or so for recovery, and I'll be able to breathe.

Oh, and all this shit just for surgery that is officially blocked for an hour of time.  But I've been told it probably wont even be 30 minutes.

And I realize that this post is kinda whiny and no one really cares and is sick of hearing about my sinus issues.  But this is my blog, and I pay for the domain.  So when you're in my domain, you do as I say.  Ok.  Maybe I need to take a nap.  Stupid not-getting-restful-sleep-for-24-more-days.

Oh, and for the record: my New Year's resolutions? To post on here more frequently.  Fail.