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laffypatty

Gastric Sleeve Patients
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Everything posted by laffypatty

  1. laffypatty

    Self-pay and post-op problems

    Thanks! I appreciate that more than you know. I want this so bad. Like many of us, I've tried everything, had great success and gained all the weight back plus some.
  2. I'm very nervous about whether or not I'll be approved. I currently have a BMI of 41 or so. I have Aetna, and many of you already know their requirements. The WLS surgeon I'm seeing wants my weight from '10, '11 and '12. I had babies in '10 and '12. My pre-pregnancy weight would still put me at a BMI of 37, but I have no comorbidities. The nurse at my OB/GYN's office sent me a note on an Rx pad, signed by the doctor, that listed my weight in the above years. The dates listed in each year are when I was pregnant, but that is not mentioned on the note. For each year, my weight is over 250#, so my BMI is well over 40. (I'm 5'5.) The bariatric coordinator suggested I submit my weight in this manner. After all, she said, they require a WEIGHT history, not a medical history. But I'm wondering if someone at Aetna will have the wherewithal to look over my complete medical history, see I had babies in '10 and '12, and figure out I was pregnant on the dates/weights submitted. Has anyone ever been approved/denied in this manner?
  3. laffypatty

    Wonder if I'll be denied

    New to this group, and enjoying reading about everyone's experiences. After a lifelong journey of gaining and losing, I've begun the process for gastric sleeve surgery. I have so many questions, and I'm having lots of trouble getting answers. I am insured through Aetna. I'd love to know what your experiences have been! My current BMI is almost 41. My insurance requires a 3-year weight history, and I don't know if I've had to have a BMI of 40+ during that time frame in order to be approved. For the last three years, my BMI has been between 35 and 40, and I have no comorbidities. (If knee problems related to excess weight count as a comorbidity then I certainly have that!) Also, I completed the required blood work and it came back perfect; not a single thing was "flagged." I fear that I won't be considered fat enough or unhealthy enough. (as if!!) Not sure if I'll need a sleep study, and I haven't yet completed the required Upper GI.) I'd love to know how the process went for you if you had a similar situation. Thanks in advance!
  4. New to this group, and enjoying reading about everyone's experiences. After a lifelong journey of gaining and losing, I've begun the process for gastric sleeve surgery. I have so many questions, and I'm having lots of trouble getting answers. I am insured through Aetna. I'd love to know what your experiences have been! My current BMI is almost 41. My insurance requires a 3-year weight history, and I don't know if I've had to have a BMI of 40+ during that time frame in order to be approved. For the last three years, my BMI has been between 35 and 40, and I have no comorbidities. Also, I completed the required blood work and it came back perfect; not a single thing was "flagged." I fear that I won't be considered fat enough or unhealthy enough. (as if!!) I'd love to know how the process went for you if you had a similar situation. Thanks in advance!

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