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tmbowe

LAP-BAND Patients
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Everything posted by tmbowe

  1. tmbowe

    Aetna question-2yr BMI requirement

    Yeah I already got them and resubmitted. Now it is just a waiting game
  2. tmbowe

    Aetna question-2yr BMI requirement

    I was just denied by Aetna because my Dr . Did not Submit my weights for 2006.. They submited 2003,2004,2005, 2007 and 2008 but 2006 was missing.But because there requirments are for 2 yrs the denial letter told me I needed 2006 to prove i was overweight. When I called the rep I asked her if they thought i got skinny for 1 yr. Anyways 2006 through 2008 would be what they require, If you plan on getting the surgery next Yr I would probably send them 2006-2009 then you know you are not missing anything
  3. I was finally submitted to Insurance Today. I am praying that it does not take to long to get approval.. I have heard some people are approved in 1 day and others in 30 hope mine is closer to the 1 day mark :biggrin: In January I decided I wanted the surgery and was unable to attend the seminar until March. I then started my 3 month Diet and thought I would be submitted once I was done with the Diet at the end of June, but instead it took my Dr. office a month to get my Records together.. Now I hope that I don't have to wait another month to hear back from Aetna.. If anyone has any advice on how they handled the wait I would love to hear from you
  4. tmbowe

    Submitted to Aetna Today

    I am still waiting on my approval from Aetna. I was submitted on 08-01-08 but nothing yet.. I have been calling them everyother day and keep getting I am pending.. WHY DOES THIS HAVE TO TAKE SO LONG.. Does anyone else seem to be having this problem
  5. tmbowe

    Submitted to Aetna Today

    sdpatt39. Good luck on your consult I know right before mine I was a nervous wreck. After I went to my consult they went ahead and submitted me it Aetna without the diet and Aetna came back and told me to do either the 3 or 6 month diet.. Because I wanted to have the surgery this yr. I decided to do the 3 month supervised diet. My PCP. referred my to a dietician and I gave her the guidlines of the 3 month diet she seen me every 2 weeks and covered everything that they required. I noticed on this website some people seen an excercise therapist.. I did not do this..The dietician would tell me what excercises to do, she had me keep a food journal and put me on a low cal diet we worked on changing me behavior by trying to eat slower and watch portion size, then when I would see her we would go over what I did and what I needed to do different. I lost 6 lbs at the beginning but gained it back at the end. I hope this is enough for them as soon as I hear back I will let you know. and I will keep you all in my prayers that you too get approved through aetna
  6. tmbowe

    Your Aetna experience?

    If you click on this link it will take you to the aetna website and show you the requirements for the surgery Obesity Surgery
  7. tmbowe

    approved by Aetna

    what all did you do on your 3 month diet.. I have a week left on mine and want to make sure I didnt miss anything
  8. tmbowe

    Your Aetna experience?

    How did you go about documenting your excercise on the 3 month multidisciplinary diet. I asked A representative at aetna and they told me I just had to tell my Dietician what I was doing and she could mark it down.. I would hate to get denied because I go the wrong information
  9. tmbowe

    Approved! --- Aetna Ppo

    well hopefully that will work for me then..I just went to see the Dietician and after I got there she told me she can't see me cause I am not a patient of the Dr's office she works for.. So Now i have to get my Dr to Refer me to a new one.. I want to get this thing started so I can get done quicker
  10. tmbowe

    Approved! --- Aetna Ppo

    I don't go to Curves but I did read somewhere else that is what they did and it worked so I think it will work for you. I am a Member of the YMCA so maybe they can do some kind of print out from when I am there
  11. tmbowe

    Approved! --- Aetna Ppo

    I think I meet most of the standards I have been under Dr. Supervised Diet for the last 5 yrs, But I think I will probably still have to do the 90 day diet. Is that what you did. I See on there that you have to have your excersice documented how did you go about doing that
  12. tmbowe

    Approved! --- Aetna Ppo

    What did you do to get approved so fast. I had my orientation yesterday and they are going to submit to Aetna in about 2 weeks any help would be appreciated

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