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10/30/09: Yay!

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ldswims

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My husband and I finally received the information on his insurance options for next year today. His options are staying the same - which means we can switch to his plan and still have something deductible and out-of-pocket-max free. Add to that it will save us $8 a payperiod of my own plan that's going away.

 

So we will be switching to Aetna. From things I read around here, seems Aetna is good about this. But I don't know what my specific case will be.

 

Right now I am on Cigna.

 

Cigna required a six month supervised weight loss program which I am one month into.

 

Cigna required a pysch consult which I have done the testing for. I go back on Monday to get the results. Yes, I'm nuts. Not sure why anyone has to pay for that info. :smile:

 

Cigna required letters of medical necessity from any practictioners with ongoing care. In my case that's my PCP and my OB/GYN. I got one from my PCP. I see my OB/GYN next Thurs but don't expect an issue here as he has mentioned this in the past.

 

The good news about Aetna is all of my doc's - the pcp, the ob/gyn, even the surgeon, are still in-network. So there will be no change of care.

 

Cigna required a nutritionist consult. I will have that on Thurs when I go in for my weigh in.

 

When I go in for that weigh in, I'll see what they might be able to say about this switch. Seems that some with Aetna only have to do three months of supervised weightloss. So maybe this is happening sooner?

 

But in perusing Aetna's website, I found a document that says I have to have documented severe obesity issues for two years or more. I have not been over a BMI of 40 for a year, let alone two. I've been at 40 (and counting) since the start of this year. Last year I hovered around 37-38. Got off BC at the beginning of the year and that threw everything out of whack. Problem is that while I have history of a BMI over 35, I do not have any comorbidities....

 

I feel so much better about the insurance. There may have to be a delay in getting the insurance requirements sorted out after that insurance plan goes into effect (Jan 1 2010) but in the meantime I can keep plugging away on all this other stuff. I do know that I will still have to have the psych consult and a nutritionist consult. I do know there is a supervised weightloss time period - may be 6 months may be 3. But I can keep all this going.

 

And the motivation is back. I no longer feel like there's a potential hurdle to overcome.

 

YAY!:crying::thumbup::thumbup:

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My husband and I finally received the information on his insurance options for next year today. His options are staying the same - which means we can switch to his plan and still have something deductible and out-of-pocket-max free. Add to that it will save us $8 a payperiod of my own plan that's going away.

So we will be switching to Aetna. From things I read around here, seems Aetna is good about this. But I don't know what my specific case will be.

Right now I am on Cigna.

Cigna required a six month supervised weight loss program which I am one month into.

Cigna required a pysch consult which I have done the testing for. I go back on Monday to get the results. Yes, I'm nuts. Not sure why anyone has to pay for that info. :wub:

Cigna required letters of medical necessity from any practictioners with ongoing care. In my case that's my PCP and my OB/GYN. I got one from my PCP. I see my OB/GYN next Thurs but don't expect an issue here as he has mentioned this in the past.

The good news about Aetna is all of my doc's - the pcp, the ob/gyn, even the surgeon, are still in-network. So there will be no change of care.

Cigna required a nutritionist consult. I will have that on Thurs when I go in for my weigh in.

When I go in for that weigh in, I'll see what they might be able to say about this switch. Seems that some with Aetna only have to do three months of supervised weightloss. So maybe this is happening sooner?

But in perusing Aetna's website, I found a document that says I have to have documented severe obesity issues for two years or more. I have not been over a BMI of 40 for a year, let alone two. I've been at 40 (and counting) since the start of this year. Last year I hovered around 37-38. Got off BC at the beginning of the year and that threw everything out of whack. Problem is that while I have history of a BMI over 35, I do not have any comorbidities....

I feel so much better about the insurance. There may have to be a delay in getting the insurance requirements sorted out after that insurance plan goes into effect (Jan 1 2010) but in the meantime I can keep plugging away on all this other stuff. I do know that I will still have to have the psych consult and a nutritionist consult. I do know there is a supervised weightloss time period - may be 6 months may be 3. But I can keep all this going.

And the motivation is back. I no longer feel like there's a potential hurdle to overcome.

YAY!:):thumbup::scared2:

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wow- that is great news! The steps you are taking now will all be a part of your medical file, which is also great.

Glad that you shared the news!

Joanne

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