Approval?!?

[PeaceLove&Tash 27]

Hey Tasha' date=' let me clarify.... The process from when I first attended a weightless seminar until now has been approximately 3 months. Not the insurance approval. Sorry that was confusing! [/quote']

Oh ok lol I called them today! They said I should know by Friday

[MamaMelly 97]

Oh ok lol I called them today! They said I should know by Friday

Yay!!! Now to wait til Friday....

[Hopeful loser 22]

I have Aetna now , I've submitted paperwork and now have hoops to jump through. I'm 5' 7", weigh 253 now (Just lost 10 lbs) and have to go through a 6 month Dr. monitored diet first. I've seen her twice, had a bunch of lab work done, including drug testing. Frustrating, as once you decide this is the best choice, you've probablyl already been through many diets as I have and gained and lost the same 35 lbs over and over again. Hopefully by Nov. I'll be qualified to have the sleeve. Wondering whether the pliation or the full sleeve is the better choice. Still have to meet with the actual Dr. This is the 2nd time I'm trying to qualify. UHC turned me down 3 years ago.

[Vixkey 40]

It took me about a month or so to finally get called for approval ...after i was approved I had to take a class and I need some blood work again and a chest x-ray b4 my big day its on Aug.28....don't worry tho it'll come b4 u know it.....

[Hopeful loser 22]

I'll bet you're really excited! Do you have to do a liquid diet before the surgery?

[jusstice 103]

I have Aetna now , I've submitted paperwork and now have hoops to jump through. I'm 5' 7", weigh 253 now (Just lost 10 lbs) and have to go through a 6 month Dr. monitored diet first. I've seen her twice, had a bunch of lab work done, including drug testing. Frustrating, as once you decide this is the best choice, you've probablyl already been through many diets as I have and gained and lost the same 35 lbs over and over again. Hopefully by Nov. I'll be qualified to have the sleeve. Wondering whether the pliation or the full sleeve is the better choice. Still have to meet with the actual Dr. This is the 2nd time I'm trying to qualify. UHC turned me down 3 years ago.

Just curious, I have Aetna as well, but I am doing the 3 month option instead of the 6month. Is that not an option for you? I have to visit with the Dr, NUT and Psych a set amount of times within the 90 days. The NUT put me on the modified liquid diet after the first visit. I am currently on day 31 of the 90 day plan.

[Hopeful loser 22]

really? no one told me about any options. you have a modified liquid diet for 90 days? wow! think once they get you below a certain BMI they can refuse to give you the surgery? that's what I wonder.

[jusstice 103]

really? no one told me about any options. you have a modified liquid diet for 90 days? wow! think once they get you below a certain BMI they can refuse to give you the surgery? that's what I wonder.

No worries with that here- I am 5 feet tall but weigh 270! My BMI is over 50, and am prediabetic but probably diabetic (waiting for the test results).

[Hopeful loser 22]

I'll bet that's a hard diet to do right now. Hopefully, I'll qualify and get this done finally. I'm 5' 7".

[PeaceLove&Tash 27]

I have Aetna now ' date=' I've submitted paperwork and now have hoops to jump through. I'm 5' 7", weigh 253 now (Just lost 10 lbs) and have to go through a 6 month Dr. monitored diet first. I've seen her twice, had a bunch of lab work done, including drug testing. Frustrating, as once you decide this is the best choice, you've probablyl already been through many diets as I have and gained and lost the same 35 lbs over and over again. Hopefully by Nov. I'll be qualified to have the sleeve. Wondering whether the pliation or the full sleeve is the better choice. Still have to meet with the actual Dr. This is the 2nd time I'm trying to qualify. UHC turned me down 3 years ago.[/quote']

Wow that's a lot of stuff! A few years ago the sleeve was experimental, so many insurance companies were turning it down. I think the sleeve is best for me....don't know much about plication? I thought you got that with the band? But idk

[PeaceLove&Tash 27]

I'll bet you're really excited! Do you have to do a liquid diet before the surgery?

I know I have to do it 4 weeks after surgery, probably before though

[pdog 51]

I have BCBS in VA and it took 3 days to get approval. My doctor said it could be any where from 2 days to 2 weeks. I was excited to hear back so soon Good luck.

[PeaceLove&Tash 27]

I have BCBS in VA and it took 3 days to get approval. My doctor said it could be any where from 2 days to 2 weeks. I was excited to hear back so soon Good luck.

That's great! They didn't give me a time line, however I called and they said I SHOULD know something by Friday! Have you had surgery?

[pdog 51]

That's great! They didn't give me a time line' date=' however I called and they said I SHOULD know something by Friday! Have you had surgery?[/quote']

Not yet, I'm having it Aug 6th so less than a month away....getting nervous and excited!

[Hopeful loser 22]

Yeah, now I just have to see my regular dr 4 more times for my diet check-in, have a psych, cardio and pulmonary eval and hopefully get certed by the holidays. hoops and more hoops to jump thru. I'm looking forward to hearing how it goes for you. I understand the pliation is just stapling the stomach into 2 parts and not removing the portion that they would in a regular sleeve surgery.