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Recent Posts

ABath
on 10/23/13 4:39 am - WI
VSG on 11/26/13
Topic: RE: Insurance question

I'm keeping my fingers crossed and praying for both of us. I spoke to a representative today and it is still "under review." Ugh! I'm going to think positively though, at least they didn't take one look and reject it.

 Height: 5'1" HW: 229 SW: 203 CW: 147.7

       

    
PNGmom
on 10/22/13 2:19 am - Port Neches, TX
Topic: RE: Insurance question
ABath. I truly agree. I call the precertification desk on Friday Oct 11th, they said they have received everything and now waiting on nurse to review for approval. I just hate the waiting game. Hopefully we will find out about the same time. Good luck.
ABath
on 10/22/13 1:56 am - WI
VSG on 11/26/13
Topic: RE: Insurance question

Mine was submitted to Aetna on Monday, October 14th and I'm still waiting. I don't know if that is good or bad. :-) It has been with Aetna's nurse for review since last Thursday so I'm keeping my fingers crossed. At least she didn't take one look and throw it out. I'm hoping this is a good sign.

 Height: 5'1" HW: 229 SW: 203 CW: 147.7

       

    
ABath
on 10/22/13 1:48 am - WI
VSG on 11/26/13
Topic: RE: Aetna Insurance - 2 year history of BMI

Aetna is very picky. I tried submitting two years ago and they wouldn't approve until I had an additional 5 months doctor documented weight. I put my surgery off and I'm once again in the middle of the process. The dr's office called yesterday because Aetna was looking for my 2012 weight. I'm worried because my BMI was 39.7 as I was in the middle of a diet. I have documented weight for many years but they want 24 consecutive months. My fingers are crossed that they will approve.

I would submit and see what they say. If they say no, you can at least get them to tell you why so you will know for sure what you need going forward. Good luck! I hope it all works out for you.

 Height: 5'1" HW: 229 SW: 203 CW: 147.7

       

    
PNGmom
on 10/21/13 2:19 am - Port Neches, TX
Topic: RE: Aetna Insurance - 2 year history of BMI

I would try anything. Just send it in to see what they say. I know I had to send the last 2 years of weight as a requirement but

what do you have to loose.  I am still waiting on approval myself. Hopefully sometime this week. Good Luck!

pharmagirl_45
on 10/21/13 12:33 am - NJ
VSG on 01/14/14 with
Topic: Cigna - Still Pending!

My paperwork was submitted on Oct 9th and I just called Cigna and it is still pending!  She said that it normally takes about 15 days for approval! 

     VSG on 1/14/14 with Dr. Samuel Wasser

    

    
Beautiful_Confident
on 10/20/13 2:37 pm
Topic: RE: Five year documented weight history question
I am in the process of approval. My insurance required 5 year history also (BCBS Tennessee). I needed weights from 09-13, but I only had '10, '12 and '13. Luckily, I found a fitnessgram I did in high school back in '08. My Dr.s office explained how the majority of teenagers or young adults really never go to the dr unless something is wrong. My case manager ended up waiving the weight requirement for me. Unfortunately, I'm still waiting due to my psych not scoring my test and including it in the notes! THEN he had the nerve to go to Austria for a month! THE NERVE! Good luck, it is possible
pharmagirl_45
on 10/20/13 10:55 am - NJ
VSG on 01/14/14 with
Topic: RE: Medically Supervised Weight Management Requirement - Cigna

I have Cigna and had to go through the 3 months of supervised weight programs.  I had to see a NUT for three months but didn't have to loss weight.  I started seeing her back on July 12 and my last appt. was Oct 3rd.  I am now waiting for approval.  Good luck to you.

     VSG on 1/14/14 with Dr. Samuel Wasser

    

    
Stacy Sikes
on 10/20/13 6:50 am - OR
Topic: RE: United Healthcare Choice Plus

I was a bit confused when I called my own insurance company on what they needed or wanted. So, what I did was contacted the place I wanted to do my WLS- they set up everything for me, helped me get all the paperwork for the insurance company, set up all the appointments I needed before I would be approved, got all my paperwork together and sent it to my insurance company. They did it all for me and in less than 2 months I am approved and will set surgery date on this wed.  so perhaps that would help if you had professional WLS place assist you.

 

Stacy Sikes
on 10/20/13 6:42 am - OR
Topic: RE: Five year documented weight history question

I also had to have 5 years back on weight, I had 5 years, 2  years, 1 year and of course current. I did not have the years for 3 and 4. The insurance company approved it even missing those years due to the fact I just didn't go to the doctor. Perhaps see what you can get if possible since you did stated it was a couple of years ago you did not have insurance.. but did you have it back say 3, 4 or 5 years back??   It is worth a try.. Hope it helps..

 

 

 

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