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Sharontrek

LAP-BAND Patients
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Everything posted by Sharontrek

  1. Sharontrek

    Anyone with Aetna Insurance ???

    So I go to the dietician today and also meet with the program coordinator. She informs me that because I don't have a BMI of 40 and because I wasn't diagnosed with sleep apnea until this process that I would most likely be denied. Has anyone else had a problem with not having your co-morbidity for long enough? I'm not sure why they didn't tell me this before they sent me for the sleep study, to the cardiologist amongst the other doctors I had to go to. Why wouldn't they just tell me six months ago that I don't qualify. Instead they send me in search of a co-morbidity that they now tell me will do no good. Grrrr!
  2. Sharontrek

    Anyone with Aetna Insurance ???

    Thanks for the info Janiece. I actually decided today to switch surgeons because the insurance "specialist" that I was dealing with was not only unprofessional but just a real pain in the butt. The new clinic that I visited today was great! We decided that it may be a good idea to hold off until the first of the year in case they decided to give me a hard time about one of my two years being the current year. I am so happy to hear that you got approved. This is a very stressful yet exciting time for us all and I can't wait to actually get an approval. I really enjoy this site and reading about everyones individual experiences with the band. I look forward to following your journey. Thanks again for the info!
  3. Sharontrek

    Anyone with Aetna Insurance ???

    I am with Aetna and have jumped through hoops for the past 6 months. It was totally worth it but now I am a nervous wreck. I have one final visit with the dietician on Monday before it can be submitted. My problem is that they require a 2 year weight history. I am missing 2007's weight. Does anyone know if they consider 2 years to be an actual 24 month period or if I have documented weight from both 2008 and 2009 if that would suffice? My BMI is in the high 30's and I was diagnosed with Sleep Apnea. If anyone has a similar experience, I would love to hear from you.

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