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lilbit08

LAP-BAND Patients
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Everything posted by lilbit08

  1. :smile2: Ok...So I was so excited because I was scheduled for my consult on 12/4 with my current insurance of Cigna's Open Access Plus Plan. This is my very 1st step in starting the whole weight loss process. A while back when I called them they told me that WLS was excluded unless medically necessary and I have a BMI of 49.1 so I am thinking that I was going to be ok. Well I get to work on Monday to get an email from HR that our insurance as of 1-09' is going to be changed to Aetna's Open Access Plus Plan. I called the Dr's ofc and they moved my consult day to 1/6 because the scheduler stated there was no reason for me to come in on 12/4 and they try to get approval thru Cigna when in January it is changing. Just wondering if anyone has ever used or known anyone to have Aetna's Open Access Plus Plan pay for the lapband? If so, Please let me know the process! Thanks bunches!:wink2:
  2. lilbit08

    3o and thinking...

    any other 30's in there that have had the lapband and doing well? any 30's in here that have had the lapband and not doing sooo well? please shed light as i am trying to decide between the lapband and rny....:thumbup:
  3. Can you tell me who u think is a good Dr. In the DFW Area that performs the lapband and why? Also if you know the total cost that would be great as I may have to be a cash pay... Thanks ahead of time!!:thumbup:
  4. Thanks and I am glad that things are going well for u! Pray for me as I will for u! Keep me posted on how u are doing girl!

  5. thanks for checkin in on me..well i am ok..i had my consult scheduled for today 12/4 only to get to work monday to find out that we are no longer going to be using cigna and that as of 1/09 we are going to be using aetna's insurance.that caused me to have to reschedule my consult til after the 1st and i am now scheduled for the 6th. there was no reason in me going and having them run things thru with cigna if come january it is switching to aetna. :frown: i wont know too much about the plan until it gets closer to the 1st. i can call them but without giving them all the group # etc they wont know exactly what the job picked for the co..

    glad to know that u are ok...how are u feeling all together?:tongue2:

  6. lilbit08

    Aetna Open Access Plus Plan...Anyone??

    Sent u a private message. Thanks!
  7. lilbit08

    Aetna Open Access Plus Plan...Anyone??

    Hi there! Thanks for the reply. MY BMI is 49.1 but I am not sure that the policy is going to cover me. I have my consult on 1/6 and I was told that the Dr ofc that I am using is good about trying to get approval, so we will see. How would I know come Jan if my job's policy totally excludes wls?
  8. Thanks sooo much for ur prayers. I feel if God see it fit, It will happen and if not it won't..no matter how much I want it to! How are u???

  9. Hi there! How are u?? Any regrets?

  10. Hi Diva! How are u?? Hows are u feeling? Any regrets?

  11. U are not going to believe this! I get to work on Monday to find an email stating that as of 1-09' our company is now going to be using Aetna's Open Access Plus Plan. No more Cigna. I had my consult scheduled for this Thursday 12/4 and now I rescheduled it to 1/6 as there is no need for me to use Cigna now and they start the approval process when come Jan. the insurance changes. I am sooo frustrated. I will know more about the Aetna Ins Policy closer to the middle of this month. I am sooo discouraged!

  12. Thanks sooo much for thinking of me! U won't believe that I am going through now! I came in to work on Monday to find out that as of 1-09' my company is switching to Aetna so I rescheduled my consult to 1/6 because there was no reason for me to go to the consult on 12/4 using Cigna and they start the process and come Jan. they have to start all over with the verification process. It makes me sooo angry girl! Now I don't know if Aetna is going to cover it or not! We dont have any info on Aetna as of yet. All I know is that it is going to be the Aetna Open Access Plus Plan...Thanks for ur friendship!

  13. Hi there! How are you? I wanted to know how u are feeling with the band? Any regrets?

  14. Ok I have Cigna Open Access Plan and I called them today and the rep. told me that my policy doesn't say whether it covers WLS or not. He said that whatever Dr. that I choose would need to call them and get Pre-Determination of Medical Necessities paperwork, fill it out and send it back in and then we can go from there....Anyone know what this means? Also, what is the 6 mnth period that most ins co's make u do and what if u loose weight during this time? Does it mean you are no longer eligible for ins to cover u? Someone please advise...
  15. I was told by a Cigna rep that all WLS surgery was excluded unless medically necessary. I currently dont have any health problems except anxiety and depression but I do have a BMI of 48. I also took my 1st step and scheduled my consult for 12/4..I am sooo excited.:smile2::cool2:
  16. Ok in the past I have studied the VSG procedure which was my surgery of choice but I am trying to use my insurance and they dont cover the VSG. I am stuck between the lapband and the RNY..I am sooo scared of the lapband...It is because I have heard sooo many stories about slippage, erosion, revisions, failures etc..that I am not sure that I want to go thru all that. My husband doesn't want me to have any WLS but stated that if I just had to have one then he would rather me go thru with the lapband because the RNY is too complicated...I am so terrified about foods getting stuck, terrified of PB-ing and vomiting....Is this normal??:thumbup::ohmy:
  17. Are fills paid out of pocket? If you have insurance does that normally cover the fills if it covered ur procedure? I don't understand the whole fill thing. Also, how many fills do u have to get?:thumbup:
  18. Hi there! I am in mesquite also, have u been banded?

  19. lilbit08

    Cigna Open Access Plan

    well i called the ins co and they told me that wls was excluded but that if medically necessary it cld be approved...soooo i have a consult on 12/4 and the dr that i have chosen they say are good with getting u all u need to be approved..we will see
  20. thanks for ur rely.i do have questions about the band as i am leaning more towards rny because of the fact that i have heard soo much about the band that scares me..it seems like everyone gets a revison to another surgery with the band...is that normal? i am sooo scared of things getting stuck all the time and i am terrified of vomiting and PB-ing all the time...HELP..any advice?

  21. hey girl! i spoke to another rep who told me that wls was excluded unless medically necessary soooo i am sure that mines is going to be considered medically necessary since i have a BMI of 49..i dont have any other comorbities unless they use depression as one...i do have back aches and pain in my legs sometimes...i will mention that to the dr..i have decided to give wade barker a try..i have a consult on 12/4 at 5:45 so atleast i made the 1st step! whooo-hoo....how are u feeling? girl my husband is really stressed as i have been looking at the RNY alot...i hear sooo much about revision etc with the lapband that it scares me...what u think?

  22. thanks for the reply..so let me understand..ihave done weight watchers in the past but not for 6 mnths...the dr that i am using, i have been told that he is pretty good with helping u along the way..i know that u said they make u do a 6 mnth diet first, so how did u get approved in 3 weeks?
  23. thanks for the comment...I am not sure that i am going to have the band..kinda studying it and the rny...my ins told me that wls is totally exclueded unless medically necessary so hopefully my BMI of 48 shld be enuff.

  24. well i have more news..i called cigna and they told me that all wls are excluded unless medically necessary. i think that with me having a BMI of 48-49 that i am hoping will be enough to qualify me for the rny or lapband. i also made my 1st step and made an appt for 12/4 for my consultation.

  25. Thansk for the info! Looking over it right now!

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