Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Stalking My insurance company..LOL!



Recommended Posts

I have completed my 3 months of supervised weight loss and was only able to lose 6 pounds. My phsch eval is complete, nutrition and exercise visits are also complete.

My surgeon program assistant sent my packet to Aetna which I have through the Federal government. No I just have to weight.

I am 30, with a bmi of 43 and no hbp or diabeties. I have been obese for about 5 years.

Do you think I'll get approved? I am going to call them again in 3 hours. They probably tell me not to call again. LOL!

My tenative surgery date is November 9th.

Share this post


Link to post
Share on other sites

I too have Aetna. They received my paper work 9/10/10 and called my surgeons office today wanting to see a two year weight history and then they can approve. My doctor’s office said they would fax it today and hope to have approval by tomorrow morning. They won't set a surgery date until I'm approved. Which, is ok as I can't get off of work until November.

I call the Aetna the day the paper work was set in just to make sure they received it. Then I think I called every day until finally they told me not to call for about a week, that it was pending.

Good luck to you.

Share this post


Link to post
Share on other sites

This is really encouraging for me because I have Aetna too. I haven't submitted mine for approval yet as I still have one more visit for my 3 month history on Oct 14th. Hopefully it will only take a week or less for approval. That would be awesome! Thanks for the info guys!

Melissa

Share this post


Link to post
Share on other sites

I told myself I wouldn't call until the end of the day. But I called an hour ago. STILL Pending! The lady said it ususally takes about four days with Aetna.

The wait is the worst!

I did go to a support group last night. A woman there has lost 143 pounds in 19 months. That's so great.

Share this post


Link to post
Share on other sites

I just learned today that my doctors office has ALL My paperwork now. So I too will be stalking the insurance company soon!

Share this post


Link to post
Share on other sites

I wouldn't stalk too much lol. The people with your paperwork could put your file on the bottom of the stack.

Give them a week at least and good luck!

Share this post


Link to post
Share on other sites

I told myself I wouldn't call until the end of the day. But I called an hour ago. STILL Pending! The lady said it ususally takes about four days with Aetna.

The wait is the worst!

I did go to a support group last night. A woman there has lost 143 pounds in 19 months. That's so great.

Where did you begin to find a support group? I haven't thought about asking my doctor's office about it yet but I think I will at my next appointment. I was going to use these online forums as my support system for now but an in person group would be great as well. Thanks for your help!

Melissa

Share this post


Link to post
Share on other sites

The support group is held by my doctors office. It's held once a month. I think its a great motovational tool.

Crazyinlove, I hope you get approved! Shoot I hope I get approved. LOL!

Share this post


Link to post
Share on other sites

I wouldn't stalk too much lol. The people with your paperwork could put your file on the bottom of the stack.

I just did hopefully my LAST test before getting a surgery date. Yes I will be calling, but I'm going to be a smart stalker. I know when these test results were faxed to my doc's office...so I KNOW the lady at the office will fax it right off. So I'll give them a few days. When I feel they've had it in their hand long enough, I'm calling. I called just before I got this most recent test done. I asked the insurance rep a question I already knew the answer to, but she had to call the area that had my paper work. A long story short...a few hours later my docs office heard from the insurance company. I guess for someone to answer my question they had to look at my file; and while they were looking at it I guess they gave answer...which was fine with me =))

Share this post


Link to post
Share on other sites

I’m so excited I was approved today:thumbup:. When I called the docs office he is out until Tuesday, so the women in the office said she’d call be back Tuesday to let me know what I had to do next and set a date. She said anytime in mid November!!!! Nothing like going from extreme high to major let down in 20 minutes:biggrin:. These next 4 days will go so slow, I guess I’m expecting to feel different when I get that date.

Share this post


Link to post
Share on other sites

I am excited for you on the approval!

November sounds like such a long way away. Even after I was approved for surgery I still had to jump through some additional hoops. You may to, and maybe that is why there is such a delay.

It will come sooner than you think.

Share this post


Link to post
Share on other sites

I am excited for you on the approval!

November sounds like such a long way away. Even after I was approved for surgery I still had to jump through some additional hoops. You may to, and maybe that is why there is such a delay.

It will come sooner than you think.

what hoops---don't tell me that I know I have to have upper GI study, bloodwork done. I don't have to do stress test or sleep test at least that is what doc told as I have that do less then a year ago. The only thing I'm really worried about no is getting through the 14 day liquid diet.

Share this post


Link to post
Share on other sites

hi! I have Aetna too and was denied at first request. I expected it really. It sounds like they wnat documentation of dieting in the last 12-24 months. Thats the time frame that I did all the diets in the magazines and no WW or LA Weight loss etc. So unless they were gong to take my food journal from when I did HCg, I was out of luck. They requested I complete a 3 month long education program that could be part of the pre-op program. So I stretched out my behavioral sessions and visited the Dr every month for a weight check/documentation. Oct 6th is my last apt. hopefully they will approve me after that. They have 2 weeks to respond. So I may have to stalk them too! B/c I wnat surg Nov 1st.

Share this post


Link to post
Share on other sites

I have completed my 3 months of supervised weight loss and was only able to lose 6 pounds. My phsch eval is complete, nutrition and exercise visits are also complete.

My surgeon program assistant sent my packet to Aetna which I have through the Federal government. No I just have to weight.

I am 30, with a bmi of 43 and no hbp or diabeties. I have been obese for about 5 years.

Do you think I'll get approved? I am going to call them again in 3 hours. They probably tell me not to call again. LOL!

My tenative surgery date is November 9th.

UPDATE: I Got Approved today!!! Yeah Me. Now I am nervous.B)

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Yay!! Congrats. I know how good that feels. 🤩

    • Jenopolis

      Had a sleeve in 2017, lost over 100 pounds. Had a DS surgery this year (2025) for more sustainable weight loss. 🤞
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      The 14th was my day. I am home and recovery is going pretty smooth. They even let me walk out of the hospital. Picture of me in recovery curtesy of my boyfriend lol. 

      · 3 replies
      1. DaisyChainOz

        Glad it went well!! Wishing you a speedy recovery and wonderful success!! 🤗

      2. buildabetteranna

        Thank you ❤️

      3. Selina333

        Neat you have a pic of this day! I was sooo happy to get my surgery. It was well worth it! And I'm not even near my goal. I had surgery Dec. 2!

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×