AggieAmy

Ok, I'm getting annoyed... Called Aetna earlier today to see if there were any updates on whether or not they're covering my surgery. They informed me that Dr. Smith's office submitted a pre-determination instead of a pre-certification for coverage, and that the facility they use is out-of-network. Umm...wouldn't they have known that it was out-of-network all this time? It's not like Aetna is an uncommon insurance provider. And the office submitted the information on 3/19/2010. Shouldn't they have contacted the insurance company by now with that kind of information, or vice versa? I can understand that everyone is busy, blah blah blah, but geez, so am I! I had to make time to go see them, the least they can do is let me know whether or not I can actually do it through them! It's common courtesy! What ever happened to having the patient's best interest at heart? It's all money-driven these days and bad bedside manner. Totally calling them on Monday to see what the heck the deal is. Tired of this mess...

Ok, the suspense is already getting to me! It's only been one day! I want to know if I'm approved so badly! If anyone out there has Aetna for their insurance, let me know how long it took for them to provide you with an approval/denial. I had an eye appointment today and they dilated my eyes so everything is reaaalllllyyy bright right now. My eyes have pretty much stayed the same though, which is good. Maybe after I lose weight I'll get Lasik, hehe. The doctor gave me new contacts, a different brand, and they're just a little blurry, but I think that's the dilation. Not a fan of anyone dilating my eyes! This LAP-BAND® surgery has pretty much taken over all of my thoughts and my entire day, and I'm glad about that. It makes me think that after it happens, I'll be committed to making it work for me So many people I know have had it, so I'll have an amazing support group, and then there's all of the support on this site. It's so amazing and so wonderful! I just can't contain my excitement!!! :eek:

Ok, the suspense is already getting to me! It's only been one day! I want to know if I'm approved so badly! If anyone out there has Aetna for their insurance, let me know how long it took for them to provide you with an approval/denial. I had an eye appointment today and they dilated my eyes so everything is reaaalllllyyy bright right now. My eyes have pretty much stayed the same though, which is good. Maybe after I lose weight I'll get Lasik, hehe. The doctor gave me new contacts, a different brand, and they're just a little blurry, but I think that's the dilation. Not a fan of anyone dilating my eyes! This LAP-BAND® surgery has pretty much taken over all of my thoughts and my entire day, and I'm glad about that. It makes me think that after it happens, I'll be committed to making it work for me So many people I know have had it, so I'll have an amazing support group, and then there's all of the support on this site. It's so amazing and so wonderful! I just can't contain my excitement!!! :)

I was advised to start a blog for this enormous change in my life to document all of the changes. What a daunting task! I started this journey back in October, when I attended an seminar about the Lap-Band® with Dr. Adam Smith. I was extremely impressed and had actually spoken with some of his patients and heard great things, so I figured what the heck, let's do it. Because I have my insurance with Aetna, there were requirements prior to having the surgery. I had to have 3 months/4 meetings with a nutritionist (either one with the Dr's office or one of my choosing), and a psych consult. Due to work being so hectic as of late and a promotion that has taken a great amount of time from doing anything else, it's taken me until just this past Monday to complete all of my required appointments. I need to have one more meeting for insurance purposes to make sure I will be covered before they will schedule a date for me and I need to have my cholesterol tested before that meeting. Surprisingly, Aetna has agreed to consider high cholesterol as a co-morbidity! Great news for me as I have no other co-morbidities! I so hope everything goes well and that insurance will be covering my surgery. I'm tired of living the way I do and I need help! :thumbup:

My nutritionist suggested Jay Robb's whey protein powder and I think it's great! One scoop has 25 grams of protein and the flavors are plentiful and tasty. My favorite is strawberry, but they also have chocolate, vanilla, orange cream, and pineapple. YUM!

Lol, I think that's going to be my self-therapy as well!

Thank you so much!

Ok, so I went to my last appointment before finding out whether or not my insurance will be covering my surgery. Doc said it'll take 2-3 weeks to submit the paperwork and find out yay or nay. Then the pre-op diet (which from what I've read on this site is liquid, strictly), and then surgery! Keep your fingers crossed for me! :eek:

Ok, so I went to my last appointment before finding out whether or not my insurance will be covering my surgery. Doc said it'll take 2-3 weeks to submit the paperwork and find out yay or nay. Then the pre-op diet (which from what I've read on this site is liquid, strictly), and then surgery! Keep your fingers crossed for me! :)

I was advised to start a blog for this enormous change in my life to document all of the changes. What a daunting task! I started this journey back in October, when I attended an seminar about the Lap-Band® with Dr. Adam Smith. I was extremely impressed and had actually spoken with some of his patients and heard great things, so I figured what the heck, let's do it. Because I have my insurance with Aetna, there were requirements prior to having the surgery. I had to have 3 months/4 meetings with a nutritionist (either one with the Dr's office or one of my choosing), and a psych consult. Due to work being so hectic as of late and a promotion that has taken a great amount of time from doing anything else, it's taken me until just this past Monday to complete all of my required appointments. I need to have one more meeting for insurance purposes to make sure I will be covered before they will schedule a date for me and I need to have my cholesterol tested before that meeting. Surprisingly, Aetna has agreed to consider high cholesterol as a co-morbidity! Great news for me as I have no other co-morbidities! I so hope everything goes well and that insurance will be covering my surgery. I'm tired of living the way I do and I need help!