girly831
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Everything posted by girly831
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Surgery 10/5 .... Starting pre-op diet tomorrow :\
girly831 commented on Sarah8807's blog entry in Sarah8807's Blog
I'm being banded October 5 as well. Good Luck to you! -
I'm scheduled for October 5-approved!!!
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Calling all AETNA *** Bandsters I hv an approval ????
girly831 replied to rn2012's topic in Tell Your Weight Loss Surgery Story
I have Aetna also and was approved. My BMI was hovering around 35 for over 2+ years. As long as you can prove your BMI was 40 without comorbities or 35 with comorbities for at least 2 years. You should not have a problem. Good Luck! . I have Aetna Health Maintenance Organization..Im currently 270 with a BMI of 41....I know i qualify with a BMI >40..I'm hearing that Aetna requires a 2 year weight history. Will they deny bc I havent been 270 for the last 2 years. My weight fluctated from 225 to 270. -
Congrats!!! I getting banded a week later, October 5.
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What was your starting weight?
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Surgery is scheduled for August 10. Anyone from the Allentown, PA area?
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Wish I could say I weight 142lbs. That would be great! HI I am 43 years old and weigh 142 lbs. I have gained almost 20 lbs over the last 5 years. I used to weigh 151 when I was 32, but lost 26 lbs just exercising and eating normal. Nothing crazy but not over indulging. After I had my son, I have found it extremely difficult to get back to 120s. I am a runnner, vegetarian and indulge only sometimes. I am fed up with struggling to get my weight down. I just started weightwatchers and realize that I am eating beyond my allowance, but I seem to so tired all the time. As for working out for some reason the pounds dont seem to be coming off like it did 11 years ago:-(. I guess after 40 the efforts need to be doubled. I try hard but sometimes I feel that this cycle will never end !. Sorry for such a long post, but I was looking for some guidance regarding the lap band.
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After speaking with Kelley at obesitylaw.com, I would not be able to participate due to I am getting the Realize Band, which is different than the Lap Band, so I'd have to pay them a fee. I decided to research appeal letters that have been approved and will take all the appeals steps available to me. Now I'm praying they approve me. It took me a week to get all my facts together. Wish me luck!
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Getting through the dreaded insurance approval
girly831 replied to kaydin81's topic in Insurance & Financing
Thanks so much for the info!!! -
Getting through the dreaded insurance approval
girly831 replied to kaydin81's topic in Insurance & Financing
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Getting through the dreaded insurance approval
girly831 replied to kaydin81's topic in Insurance & Financing
I would definitely give the office a call. Kelley answered right away and genuinely listens. She emailed me the forms within a few minutes and I have faxed off all my info and application this morning. Here is the number 619-656-5251. Good Luck! I will let you know as soon as I hear something. Hopefully good news! Thanks so much for the info on obesitylaw. I talked to Kelley today, she's so nice and I felt so much better just talking to her. She sent me the papers already and I hope to fax them back to her by tomorrow. I really hope they approve me this time with their help. I submitted my information on line last week and still haven't heard from them. Looks like you may have gotten a faster response with a telephone call. I guess I should try that in the morning, I'm getting pretty anxious checking my email constantly. -
Getting through the dreaded insurance approval
girly831 replied to kaydin81's topic in Insurance & Financing
Thanks so much for the info on obesitylaw. I talked to Kelley today, she's so nice and I felt so much better just talking to her. She sent me the papers already and I hope to fax them back to her by tomorrow. I really hope they approve me this time with their help. Here's the chain of events: 1.20.11 My surgeons insurance coordinator submitted my paperwork 1.28.11 aetna denied me 2.4.11 insurance coordinator had me sign the authorization forms for Walter Lindstroms group at obesitylaw.com to represent me. She faxed it to them. 2.16.11 per aetna, appeal received 3.10.11 Aetna denied my appeal 3.11.11 I faxed denial letter to Kelley Lindstrom at obesitylaw 3.11.11 2nd appeal is sent 3.30.11 2nd appeal overturned - surgery approved!!! But I didn't find out until 4.8.11 4.9.11 the official letter arrived in mail 5.5.11 6am dr. Michaelson changed my life I hope this helps you!!! -
I contacted obesitylaw.com but have not heard from them yet. I want to get this second appeal going.