Recent Posts
I'm a bit disappointed in this board. I joined because I wanted to have a community that included people like me who have gone through, or are going to go through WLS, but it seems like no one ever comments on anything. I'm bummed.
I think a hero is an ordinary individual who finds strength to persevere and endure in spite of overwhelming obstacles. –Christopher Reeves
Ask Aetna to provide you with a copy of your actual policy and read it thorughly. I have the lapband and am revising to the RNY and BCBS STILL required me to have 6 mo supervised diet before surgery (I'm not sure why 5 yr.s being compliant with a lapband diet doesn't meet that requirement but that's how it is.) however my band slipped so I am now scheduled for surgery. It is well worth it to obtain a complete copy of your health ins policy and read it really thoroughly. Then call them with questions. If they can't answer keep asking for the supervisor of member services til you get someone that can..I know it's frustrating-believe me I know!! ((Hugs))
Saralynne
Good for you for taking the plunge! I had my seminar about this time last year and I'm still going through the rings of pre-op... I had a job and insurance change right when I was about to have my consult with the surgeon... then I had to wait 90 days before I could go back and my surgeon had switched offices, thus, making me have to start over in the process.
I think a lot of the requirements depend on what your BMI is. I had to do 6 months of supervised weight loss with BCBS. I'm sure Aetna is similar... and they should know what you need to do... they shouldn't be telling you to ask the doctor.
It is a frustrating process, but I know it is going to be so worth it! Good luck and I hope you get the answers you are looking for soon!
Sorry I have been gone for three weeks. Yes, he and Dr. Wagner are leaving. They should be gone now.
BAND REMOVED 9-4-12-fought insurance to get sleeve and won! Sleeved 1/22/13! Five years out and trying to get that last 15 pounds back off.
Today I had my seminar at U of M, I was lucky and will be contacted tomorrow to have my nurse pract/nutritionist appt on Thursday. I'm hoping to find out alot about my insurance then because when I called Aetna was useless, they could not answer my question on how long or if I need to do a medically supervised weight loss program and if so how long.. They kept telling me to ask the doctor. I do know that its either not needed or 3 months but what I don't know if i can provide the notes from my pcps for the 3months or if I have start all over!
Has anyone had the Sleeve at U of M? or with Aetna?
So I've been going through the motions of all the pre-op screenings and what not. I actually had my consult with the surgeon scheduled, but I ended up getting a new job and new insurance so I had to wait. Now that I've been at my job I'm going back through the motions of the pre-op. My surgeon, Dr. Mindy Lane, was at her own private practice but now transferred to Sparrow Weight Management and that is where the trouble starts. I already went through the classes and paid my program fee, and now SWM is trying to make me do their classes and pay their fees!! UGH! This is crazy! It is very disheartening doing all of the same things again! I have my 4th appointment with Louise, the nutritionist and I am just so frustrated that I've had to meet with her so many times!
If anyone has any tips or tricks on how to go about this, please feel free to share.
You are an inspiration beyond words. You don't even look remotely the same as when you started your journey! W2G you!! You look grrreat!!
I had RNY at Hurley in August and Dr. Kralovich was the surgeon. Is that the one who will be leaving? As a current patient, I would think they would have to tell me! What a slap in the face.
