amaral1407
LAP-BAND Patients-
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Everything posted by amaral1407
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I was denied the first time with Aetna, first find out why where you denied. I was denied they said I did not satisfy the 3 month weight loss program they want; I was determined to get the surgery so I did the 6 months. My 2nd time the doctor submitted I was approved with 24 hours. Do not give up this is the best thing I could have done, stick with it!!!!
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Today is my first fill also, I will let you know how it goes... Excited and nervous at the same time.
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Left shoulder pain !!!!
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I have had my fitbit for about a week and absolutely love it. It calculates how many steps you take in a day, how many flights of stairs you climb, and also calculates the calories that you have eaten. Well worth the purchase, I purchased mine from Amazon and it was alittle cheaper.
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Hope everyone is recovering from the surgery. I have a questions on exercise or walking the treadmill. I started walking the treadmill on Monday and don't know if that is currently enough exercise, my surgery was on March 16th. I am walking the treadmill for 30 min at a 1% incline. Anyone have any recommendations? my weight loss this week has not been more than a pound.
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Help...post Op Grocery List...
amaral1407 replied to tammyg1969's topic in PRE-Operation Weight Loss Surgery Q&A
Hi can you please send me the shopping list. My surgery is Friday. Thank you -
5Th Month And Aetna Insurance
amaral1407 replied to Princess Jaz's topic in PRE-Operation Weight Loss Surgery Q&A
I was approved on February 9th two days after the paperwork was submitted. My surgery is scheduled for March 16th my delay was the dr being booked and having to do the two weeks of liquid diet. Good Luck and Stay positive!!!! -
Started Preop Diet Today
amaral1407 replied to tammyjo85's topic in Tell Your Weight Loss Surgery Story
Hello my surgery is March 16th I am excited nervous at the same time. Just started my pre-op diet on Friday and so far it has not been too bad. My pre-op diet is 5 protein shakes a day and than supplement it with broth, jello and popsicles. Good luck everyone looks like we are all about the same time. Look forward to our success. -
Just received my date March 16th, super excited to start my new healthy life. Start my liquid diet on March 2nd which has me kind of nervous. Good luck everyone!!!!
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Just received my date March 16th, super excited to start my new healthy life. Start my liquid diet on March 2nd which has me kind of nervous. Good luck everyone!!!!
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Okay it been an emotional 2 weeks Aetna has denied my surgery twice due to not having proper documentation to do the 3 month multidisciplinary plan. Anyone have a copy of exactly what the doctor has to put on his paperwork every month. I have given up on the 3 month and am just hoping to get approved on the 6th month.... Any help or suggestions would be greatly appreciated. Don't think I can handle a 3rd denial... July 8- primary care Aug 5- primary care Aug 5- nutritionist Aug 19-nutritionist Sep 2- nutritionist Sept 9- primary care Sept-30 nutritionist Oct 7-primary care Oct 21- nutritionist I have been going to curves twice a week and walking treadmill twice a week. Done all my pre-surgery testing; Thank you...
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AETNA DENIAL TWICE
amaral1407 replied to amaral1407's topic in PRE-Operation Weight Loss Surgery Q&A
APPROVED FINALLY......Such a great day !!!!! Now just waiting for the Dr. to look at all my paperwork and schedule surgery... Hoping for the first part of March. So glad I stuck with the process... -
AETNA DENIAL TWICE
amaral1407 replied to amaral1407's topic in PRE-Operation Weight Loss Surgery Q&A
Okay everyone keep their fingers crossed for me. I did the 6 month diet and now it was resubmitted to Aetna on Thursday for approval. Everything looks like it should be in order this time I hope. Don't think I can take a 3rd rejection. -
Lap Band Denied By Bcbs Very Disappointed
amaral1407 replied to GermaineF's topic in Insurance & Financing
I have Aetna ***, they have been buying 100% of my nutritionist every two weeks since July. I have been looking at the setback as something positive. I'm getting to learn more and more about eating properly and reading labels. Hoping Aetna will still pay after the surgery so I can continue with the support!!! Good Luck ! -
AETNA DENIAL TWICE
amaral1407 replied to amaral1407's topic in PRE-Operation Weight Loss Surgery Q&A
Thank you I 'm not stopping now. I have been documenting all my exercising. Made my appointment for my month PCP and asking for a letter stating why the surgery is necessary with my co-morbidities, also, have an appointment this friday for the nutritionist. Figured it better to be safe this time. I wish you luck also. -
Okay it been an emotional 2 weeks Aetna has denied my surgery twice due to not having proper documentation to do the 3 month multidisciplinary plan. Anyone have a copy of exactly what the doctor has to put on his paperwork every month. I have given up on the 3 month and am just hoping to get approved on the 6th month.... Any help or suggestions would be greatly appreciated. Don't think I can handle a 3rd denial... July 8- primary care Aug 5- primary care Aug 5- nutritionist Aug 19-nutritionist Sep 2- nutritionist Sept 9- primary care Sept-30 nutritionist Oct 7-primary care Oct 21- nutritionist I have been going to curves twice a week and walking treadmill twice a week. Done all my pre-surgery testing; Thank you...
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Yes, my surgeon office is submitting the paperwork. I was hoping for any tips at getting approved.
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Getting through the dreaded insurance approval
amaral1407 replied to kaydin81's topic in Insurance & Financing
Hello I would like any assistance I can get. I have been denied twice for the lap band, and now have to go back to my pcp for 3 more months. my email address is aamaral1407@hotmail.com Thanks so much -
Lap Band Denied By Bcbs Very Disappointed
amaral1407 replied to GermaineF's topic in Insurance & Financing
Hi Do you know exactly what the form said that your pcp filled out. I too was denied by Aetna, seeing my pcp, nutrionist, and psych, they are stating pcp did not provide enough info? -
I just finished my 3 months of dieting, nutritionist, pysch evaluation, and my surgeon office just submitted my paperwork. Anyone know approximately how long it takes for approval from Aetna? I'm hoping to have the surgery by the end of October.
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I believe every plan is different; mine will cover fills for the first year.
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Well Aetna denied me not enough details, even though I had been going to my PCP monthly since July 8, Nutritionist every 2 weeks, walk the treadmill, and go to curves 2 days a week. I have lost 19 pounds so far!!! Really frustrated don't know what to do? What I was missing it my 3 month detailed report from the Doctor, I guess they sent July 8 but than only sent nutritionist report. I called Aetna and got a their fax appeal number and my dr is going to submit all the paperwork that was forgotten. Has anyone gone through this process and how long does appeal take?
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What I was missing it my 3 month detailed report from the Doctor, I guess they sent July 8 but than only sent nutritionist report. I called Aetna and got a their fax appeal number and my dr is going to submit a more detailed report. Hope this is hleping
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Well Aetna denied me not enough details, even though I had been going to my PCP monthly since July 8, Nutritionist every 2 weeks since August 1, walk the treadmill, and go to curves 2 days a week. I have lost 19 pounds so far!!! Really frustrated don't know what to do?
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I have to say Aetna EPO has been great!!! All my labwork, nutritionist (every 2 weeks), xrays are paid at 100%; .my psych exam was my copay of $30, and my co-pay for surgery is $1000. Now just the waiting for approval; they have received all my clinical reports so I'm hoping I hear Monday or Tuesday. As far as the 2 year weight history I have weight for May 2010, and than March 2009 my case manager at the surgeon office did not think this would be an issue. Wish everyone luck.