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Everything posted by tmbowe
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Yeah I already got them and resubmitted. Now it is just a waiting game
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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
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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
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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
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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
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If you click on this link it will take you to the aetna website and show you the requirements for the surgery Obesity Surgery
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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
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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
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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
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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
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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
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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