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Treen1972

LAP-BAND Patients
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Everything posted by Treen1972

  1. Treen1972

    Newbie - Pre Band (hopefully!)

    You should have no problem....I dont have any health issues but I am 100 overweight as well. I presented my 6 months of supervised diet documents, participated in a sleep study, completed a routine physical with my doctor with an EKG, and Carol of Dr. Singh/Averbach's office did the rest. I have AETNA and two days after Carol submitted, I rec'd a call telling me I was approved.
  2. Good Evening all, My surgery has been scheduled fo this Friday August 3, 2007. I am pleased to say that Aetna approved the LapBand procedure 2 days after submitting my medical history, counseling (nutritional and psychological), consultation, etc. I am both nervous and excited. Dr. Singh and Averbach (Catonsville, MD) have been wonderful and very helpful. Their billing representative (Carol) was on top of her job. I highly suggest all new candidates and people who have been denied to contact this office and begin or restart the preauthorization process. Carol is very familiar with the requirements for bariatric procedure coverage.
  3. Thanks everyone for all of your well wishes! I wish everyone the best of luck as well!
  4. My doctor submitted 6 consecutive months. Aetna will not budge without 2-3 months of documentation or 6 months (both consecutively). I hope this information helps. If you have any other questions, please feel free to ask.
  5. Good evening, Unfortunately yes, Even though I thought the nutrional and psych counseling was a big waste of time and money but I had to play the game. The longest part for me was getting the paper work from my PCP. His office staff is not the smartest. They kept faxing in various months of my dietary plan opposed to sending in 2 three consecutive months or 6 months of documentation. Finally, the office manager took care of everything. All she placed on all six months of diet documentation was: The month (make sure they are consecutive with Aetna) The dosage of Phentermine my weight each month and the doctor stated that he provided nutrition information. Medical history that proved that I have been overweight for the past 5 years and the Bariatric surgeon requested bloodwork and EKG. Thats all I started the process on May 18th 2007 with my consultation May 21st (nutrition counseling) June 3rd (psych counseling) June 28th (office visit: EKG, bloodwork, etc) then at the end of July my doctors office faxed over all documents and the insurance company approved me. I hope this helps...if not..... Please feel free to ask me any question....as I will be happy to respond.

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