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Topic: RE: I Got A Date!!!!
thanks so much both of u !!! right now time seems to be going so slooooow!! lol
Topic: RE: 6 month diet/gained weight!?
I am freaking out alittle bit too.....I just messaged Nan..and I see she replied to this..so thats awesome! Love her! But I have been on 3 month regimen..my last visit is on the 10th and then it goes to Aetna...but I started out at 244 - then went to 243 - then 246 - 247 - and now 249! I am freaking out...a 5 lb weight gain?! I am just going to bare down this week..try Acai berry cleanse (not to get too personal :/) , try alittle different exercise..and hopefully I will loose weight. So...it IS possible to get approved with a little weight gain?
Topic: RE: DENIED BY AETNA ON APPEAL
I am new to posting here and I am super frustrated! I started my journey on July 21st. My surgeon made me feel like it would be a pretty easy process and I expected to have my procedure by Sept. 18th and then I got my first denial. I have 22 years worth of weigh****cher books.. I can show my weight for 22 of the last 26 years and sadly my BMI always qualifies me with the exception of a year or two. On the first denial they said I needed 3 months of surgeon-supervised diet...........SO..........we did that..and re-submitted. I just got my second denial and their reasoning makes no sense.. there is just jumbling of words that make no sense and when I call AETNA the representatives don't have a clear answer. When my surgeon's office called they were given two different reasons by two different reps. I am at a loss as to what to do. I am going to try and get an attorney's advice and we filed another appeal yesterday.. I have an Aetna PPO that is supposed to cover this, providing your BMI meets requirement and you have the 3 month supervised diet. UGH...................PLEASE advise if you have any suggestions..
Topic: My 2 sons are approved by Aetna & have a surgery date!!!!!
I just wanted to share the news that both my sons have been approved by Aetna and today I received a call scheduling them for surgery - December 13th!!!! Both of them are in college so we have to wait for their break in between terms but I am so very excited for them!! On Dec 13th one will have surgery at 8:30 am and the other at 10:30 am!!!
My daughter had surgery in May of this year and has lost 90+ pounds so far. I can't wait for my boys to experience this great journey!!
Anyone with Aetna needing help/advice on the requirements, myself, my daughter and both of my sons have all been approved so I'd be glad to help anyone with questions about Aetna approval..
Nan
Nan
HW 300 / SW 280 / CW 138 / GW 140
Hit Goal 4/2/2010
Topic: RE: I Got A Date!!!!
Congratulations!!!!! The 23rd will be here before you know it!
Nan
HW 300 / SW 280 / CW 138 / GW 140
Hit Goal 4/2/2010
Topic: RE: I Got A Date!!!!
Im so very happy for you !!! You are gonna be a loser before you know it!! LOL!!! Congrats and know you will be in my prayers...God Bless!!
Teresa
Topic: RE: United Healthcare Insurance
What was the outcome??? I am in the process of trying to figure out if I will be approved based on my BMI not being over 35 for the past 5 years,
Topic: I Got A Date!!!!
Well everything went well with my physical and history Appt, and I finally got a date! I go in for the Laproscopic Roux-en-Y on Monday November 22nd at 8 am I am so super excited!!!!!!!!!!
Topic: RE: I am Approved
Congratulations Amy. How long did it take to get the approval? Mine was submitted over a week ago but haven't heard anything yet. I'm on pins and needles.
Good luck!
Jo
Good luck!
Jo
Jo 
Topic: RE: Denied by Cigna
I got the same run around from BCBS. They gave me a tentative approval but I needed to complete a 6 month (180 day) diet. I had completed 5 months with the WLS's office when we were advised that BCBS had just changed their requirements and I had to complete the diet with my PCP, not the surgeon. I had to start all over again. Just to be on the safe side, I also joined Weigh****chers.
I just finished my second 6 month diet. The WLS's insurance people sent in the info along with a very nasty note from my PCP and I immediately received an approval. I have a surgery date set for 11/29. However, I won't believe it until the surgery has been completed and I wake up in recovery with my guts altered.
I cetainly wish you the very best of luck and happy appeals. I know how disappointing and frustrating the whole process can be. Just remember, that is what the insurance company is counting on, that you will get frustrated and just walk away!
I just finished my second 6 month diet. The WLS's insurance people sent in the info along with a very nasty note from my PCP and I immediately received an approval. I have a surgery date set for 11/29. However, I won't believe it until the surgery has been completed and I wake up in recovery with my guts altered.
I cetainly wish you the very best of luck and happy appeals. I know how disappointing and frustrating the whole process can be. Just remember, that is what the insurance company is counting on, that you will get frustrated and just walk away!
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