kimberlee1235

Waitforitandihopeyourenotlactoseandtolerant...dairy!!!! just got off the phone with Aetna, guess who got approved? Oh, just ME! True story: I cried on the phone when the insurance rep told me. I..cannot...wait!!!!

Lol! I may or may not call them today like the crazy person I am...

I brought my medical records from over the past 23 months to my surgeon's office yesterday and the bariatric coordinator said she'd send out the request for approval...They have "up to 30 days" to make a decision but usually don't take longer than 2 weeks or so. I'm super excited! Super nervous at the same time..Ahhhhh! Must..fight..urge....to...call...Aetna...everyday...

Good luck! Can't wait to be saying those words myself.

Yeah I know you have to either do the 6 months or the 3 months supervised whateveryouwannacallit, but it also says you must provide a 2 year or 24 month history of prior office visits (not necessarily for weight loss...could be a cold, whatever) just as long as your weight was documented..at least that's what my surgeon says and it also says in Aetnas weight loss surgery guidelines

Alright! I tried to search the forums for information specifically on this but I really couldn't find anything, so my apologies if this is repetitive!

I have Aetna. I've done my 90 days of documented registered dietician visits, which is outlined in the requirement of Clinical Policy Bulletin 157, and I've done my psych eval, I have a bmi of like 42...(I'm 5'4" and teeter-totter between 247 and 253, and i have for the past 4 yrs) My question is this: The part where you have to submit 24 months, or 2 years, of weight loss history....I went and picked up my records today from my previous doctors visits to take to my surgeon, and it only goes back to August 30th, 2010....so I only have 23 months. Prior to that I hadn't seen a doctor for a few months.

Has anyone had success for submitting close to 24 months of weight loss history but not QUITE 24 months? I'm just freaking out about a possible denial....I realize I could wait until the end of August but I really don't want to!

Please share your experiences with Aetna's policy on submitting the 24 month weight loss history.

Thanks in advance y'all!

I'm sure this has been talked about a lot on here in various threads, however it's kinda hard to navigate through everything. I'm probably going to be having surgery in August and I've read about so many people having major Hair loss. This TERRIFIES me. I have hypothyroidism and I already deal with hair loss as it is...im getting married in January and KINDA don't want to be bald for that! Would you all mind sharing your experiences with this? Thanks in advance

Thanks everyone. Haven't been this excited ever!! I just talked to the surgery coordinator with my doctors office and she said Aetna is strict on their "90 days" policy, so for me this means waiting until like July 22 or so before submitting for approval. It sucks, but I'll take it! Ready to start feeling better inside and out!

Today I had my last nutritionist appointment...I've done my psych eval, EGD, ultrasound.... I'm done!!! Now the waiting game for insurance approval begins...wish me luck!

I had my EGD and gallbladder ultrasound this past Wednesday...My gallbladder is fine and won't need to be removed during surgery, but they found a gastric polyp during the EGD... This kinda worries me! I go in the office this Thursday to talk with the doctor about it...Prayers please!

I'm going in for my EGD and gallbladder ultrasound tomorrow. I may not be eligible for surgery until the end of july...but hey, it's still one step closer, right? Can't wait for the next couple months to fly by...

Oh i'm sure. I guess "luckily" in this situation, I haven't lost anything more than 3-4lbs in the past year or so...It's just Water weight that changes on a daily basis.

I feel like the little kid in the back seat yelling "are we there yet?!" *sigh* Well, I'm 24 years old and I'm currently at my heaviest...a whopping 252lbs. I've never been slim/slender/thin, etc by any means. Well, I'm fed up with it. I deserve a chance to be happy, healthy, and comfortable with myself! I can remember stepping off of the scale at the doctors office about 3 years ago....completely mortified. I gained 40lbs in ONE month, with no reason to give. I hadn't changed my eating habits...I just didn't understand. I haven't been able to shed it since...and I've gained an additional 10-12lbs ontop of that (the last 2lbs teeter day to day..) I've tried weight watchers to no avail....I also worked with a personal trainer 2x a week for almost 3 months and DRASTICALLY changed my eating habits. Wanna know how much weight I lost? 9lbs. N-i-n-e. It was so incredibly depressing. I never really thought about WLS up until a few months ago...and couldn't really do anything about it because the insurance I had at the time had exclusionary riders on the policy disallowing anything of the sort...But when I quit my job I was able to get on my mother's insurance, and it is covered. This is such a blessing...as I'm running out of options. I'm pre-diabetic..most likely well on my way to high cholesterol and high blood pressure, and who knows what else! I'm way too young to feel the way I do...Just so incredibly run-down from everyday life! Doing stuff as simple as grocery shopping is pretty ridiculous! I've never felt so tired and sore...swollen feet...I'm just waiting for my legs to shatter underneath me! I'm getting married in January and hopefully starting a little family in the next few years...I need to ensure that I will be mobile and healthy for my future little monsters! I went for my first consultation on 4/13/12. I saw the nutritionist on 4/23/12. I have an EGD and gallbladder ultrasound on 5/2/12. I have Aetna insurance, and the bariatric coordinator with my doctor's office said my 90 day of hoops I have to jump through began after I saw the nutritionist...so the countdown begins! I just pray I don't run into any hiccups with the insurance company...Well, there's my rant. Sorry if some it doesn't make sense...I'm not gonna lie, I won't re-read it before I hit "post" lol.