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Everything posted by enuff_is_enuff
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Aetna Sleevers - Share Your Approval And/or Denial Experiences Here!
enuff_is_enuff replied to funkeechiggen's topic in Insurance & Financing
Ladies i am proud to say.... IAM OFFICIALLY APPROVED! I called this morning just to get my case number and she said.. ohh. You have been authorized. No need to call anymore! -
At home Sleep Apnea study?
enuff_is_enuff replied to maharet111's topic in PRE-Operation Weight Loss Surgery Q&A
I had to do the at home sleep study test. The one i used was a small.machine by respironics. There are 2 straps. One goes around the upper part of your torso and the other goes over top of your navel. There are 2 wires that run from each band and connect to the machine which sits on the first mentioned band on your chest. Lastly there is a cannula (apparatus for the nose, i.e., oxygen patients) that hooks into the machine , also a small mic that hangs from your head (very small). Its sounds complicated but it isnt. The only thing i hated was that i had to sleep on my back as the machine rests on your chest. You push the kn button when you are on your way to sleep and push to cut it off in the morn when you wake up. Take it back to the doctors the next day and walahhh!!!! Your done. Insurance paid for mine. Hope this helps! -
Congrats to you ma'am!
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3 Months Post Op With Pics
enuff_is_enuff replied to newgrandmother's topic in Weight Loss Surgery Success Stories
You are doing great. That 50+ lbs since you first started. Looking good! Keep up the good work!!!!! -
congratulations! Have a safe and speedy surgery and recovery!
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Pink, Contact the Dr's or the lab about your results. My dr's office had the records back and a month had passed before I finally called. No one sent me the records in the mail nor did they bother to call about the results.. May be an issue of miscommunication. I do pray all goes well and that you actually are able to get in and get your surgery. Putting a little fire underneath the pot doesnt hurt as there are nice ways to go about it Are you self pay or is your insurance paying. The reason I ask is because if insurance is paying, i know mine anyway, they put a time limit on the validity of the approval. Mine is only 6 months from the day they approve it. After that, I have to start all over again from the beginning. Best of luck and you are not alone. I am here as well as a lot of other people. Hop on and chat away.. Cheer up! :-)
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Any new news pink?
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Calling All Fingers And Prayers!
enuff_is_enuff replied to enuff_is_enuff's topic in PRE-Operation Weight Loss Surgery Q&A
Congrats candlz!!!!!!!! A week is speedy! -
Calling All Fingers And Prayers!
enuff_is_enuff replied to enuff_is_enuff's topic in PRE-Operation Weight Loss Surgery Q&A
I hope so! Did u have aetna? -
Calling All Fingers And Prayers!
enuff_is_enuff replied to enuff_is_enuff's topic in PRE-Operation Weight Loss Surgery Q&A
Thank you! I tried to resist calling today and couldnt. Found out my file was being reviewed today!!!! Im officially nervous... -
5'2 and 285 lbs. Waiting on insurance approval! (Submitted 11/30) File is in review as we speak! Good luck to everyone whether awaiting approval or already sleeved!
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They Submitted Today!
enuff_is_enuff replied to mwrarr's topic in PRE-Operation Weight Loss Surgery Q&A
MW- Dont throw in the towel or give up just yet.. It will all come through. I find it irritating that at one point they told you everything was fine and nothing was missing and now something is missing. It just makes you wonder do they take the time to view the files before spewing out misinformation. I am in the waiting period with you. They just submitted my paperwork on 11/30. Fortunately with my employer, they have to give an answer within 15 days of submission... So we shall see. I am praying for ya and my fingers and toes are still crossed, getting a little fatigued, but still crossed :-) .. Hang in there lady.... -
Aetna Sleevers - Share Your Approval And/or Denial Experiences Here!
enuff_is_enuff replied to funkeechiggen's topic in Insurance & Financing
Cathy, did bcbs require a 5 yr weight history? -
Richmond Virginia Sleevers Around?
enuff_is_enuff replied to GeekyGamerGrrl's topic in Gastric Sleeve Surgery Forums
Hello all. I luve in chesterfield. I am currently awaitinfg insurance approval/denial. If all hoes well, dr bittner at vcu will be my surgeon.. i am really looking for folks in the richmond area to meet up with and chat about the experience... i wish you all the best of luck! -
Submitted To Insurance!
enuff_is_enuff replied to mom2five's topic in PRE-Operation Weight Loss Surgery Q&A
Congrats new begin! Im waiting for my insurance to accept/deny... i read my insurance packet today and found out they only have 15 days to make a decision and a 1 time 15 ext.. its great to work for a large company -
Aetna Sleevers - Share Your Approval And/or Denial Experiences Here!
enuff_is_enuff replied to funkeechiggen's topic in Insurance & Financing
Ok so now i have good news. My surgeons office got their act together and submitted my paperwork on 11/30. I called Aetna to confirm and they infact have the paperwork. The Nurse even told me that I was next in line to be reviewed. Soooooo... Fingers crossed everyone! Hopefully i will hear something by the end of the week. Honestly, if it takes another 2 weks im fine with it. I am just glad it made it to its destination. -
Lost Without A Cause And My Candle Is Nearing Its End
enuff_is_enuff posted a topic in Insurance & Financing
What a day everyone. My original post noted that my last appt of the 3 month process was on 11/21 and that was the day they were to submit. Wellll here we are a week later and im more pissed than anything. First, my surgeons office, which happens to be the medical college here in richmond, has the slowest most unprofessional admin i have ever seen. Wait.... not just the admin, most of the non doctoral staff. When I call and ask abouy certain aspects of the submission/approval process, "i dont know" is not acceptable to me. Perhaps " i dont know but i will find ouy and follow up with you?" Ding ding ding! Thats works and shows that you are proactive. I digress. Needless to say, my paperwork has NOT been submitted due to "missing" information.. Did anyone call me? Nope. Email me? Nope. SMOKE SIGNAL?! NOPE!!!! Geeeze.. I also now have to have a gall bladder ultrasound which is why i called and emailed her initially. The one she sent me in the mail, no good. The US office wont acxept ot because dumb dumb forgot to have the doctor sign it.. soooo after I left 2 messages via her office, a vm and an email, there was still no return of communication. I had to call her supervisor to get a call back!!!! She called back 5 minutes after that. Apparantly, from what she tells me, she sent the order o er to the US office and they scheduled me. Do you think they bothered to call me and tell me when it was, given that its next tuesday at 8 am so i have to take of work........ not a snowballs chance in h*#l..hmm. So after that was resolved we get on the topic of why my info was noy submitted. Besides the fact the there was missing info, she tells me that its highly unlikely that i will get an approval because i only did 3 months.. people, she didnt read the cpb. She has an old copy! She says she doesnt have access to the one we, patients, view. I chimed in and told her " well apparantly google does!" Google it, dang. She is just sooo adamant that will be a denial per the information.. I faxed her the info and we shall see. Im thinking the same way now. I actually cried myself to sleep last night. I researched non surgical opportunities, medifast.. is all i saw... it took me a while to get to this decision and i feel as though its slipping away before i get it. Me not being able to become pregnant, lose weight, control my moods over the years is punishment for something ive done either in this life or in a past one. Anything that i put my mind to seems to fail and the ones i dont put effort to, come to me without a fuss. All i can do is cry and pray and sit in my closet alone because i dont know what to do from here.... i am tired of hearing its ok, cuz its not right now. Im realistic.. i rather it be as is vs sugar coated to get me by for a couple hours.....again. what a day.... -
What is your copay or co insurance?
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Congrats!!!!
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Aetna Sleevers - Share Your Approval And/or Denial Experiences Here!
enuff_is_enuff replied to funkeechiggen's topic in Insurance & Financing
-- Are you refering to you being kind or the Aetna reps? -
Aetna Sleevers - Share Your Approval And/or Denial Experiences Here!
enuff_is_enuff replied to funkeechiggen's topic in Insurance & Financing
Congrats HeadMistress! I can give you what is left of my positive energy for the day! Be safe in your journey and I wish you all the best -
Aetna Sleevers - Share Your Approval And/or Denial Experiences Here!
enuff_is_enuff replied to funkeechiggen's topic in Insurance & Financing
Congrats -
Red... are you drinking premade or experimenting with your own?
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I Can't Wait To Not Have To...
enuff_is_enuff replied to BrickHouse's topic in PRE-Operation Weight Loss Surgery Q&A
... hear my wii fit groan on screen when I step on and then calculate my bmi and yell " thats obese"!! -
January 2013 Sleevers?
enuff_is_enuff replied to williamrjomes2's topic in Gastric Sleeve Surgery Forums
I just finished my preop 3 month req. W/ aetna. Info submitted on wednesdsy. Im hoping to have mine on my bday jan 3!