Just starting my journey... my head is spinning!

[Miss Piggy 30]

Good morning,

Just wanted to introduce myself. My name is Kim, I'm 36 years old, married with 2 kids (16month old daughter and 5 year old son).

Had my seminar last summer but made my 1,539th attempt to do it on my own, without success. I finally decided enough was enough. I had my consultation last week and now I'm working on what I need to do. Appointments scheduled over the next few weeks. I have Aetna and I'm worried I'm not going to qualify because my BMI is not at 40 but I plan to keep going. It hovers around 36 but I will be having a sleep study done soon that will hopefully officially diagnose sleep apnea so I can qualify. I should have my 3 month multidisciplinary plan done by mid April so I'm hopeful for a May surgery.

My head is spinning but I'm excited to finally not let the nagging thoughts and judgements override what I know is best for me, my health and my family.

I look forward to sharing this journey with you

Kim

[srs82781 83]

Welcome Kim! Good luck on your journey!!! I am having my surgery finally on February 18th! I started with my seminar last may and was planning on going thru insurance (Aetna) but was denied and decided not to appeal and that this was too long and stressful of a process for me...i am a self pay going Mexico. Let me know if you have any questions going thru the Aetna process.

[Miss Piggy 30]

Welcome Kim! Good luck on your journey!!! I am having my surgery finally on February 18th! I started with my seminar last may and was planning on going thru insurance (Aetna) but was denied and decided not to appeal and that this was too long and stressful of a process for me...i am a self pay going Mexico. Let me know if you have any questions going thru the Aetna process.

Thank you!! Can I ask why they denied you?

[srs82781 83]

Thank you!! Can I ask why they denied you?

Even though I have a 43BMI, and that I have been obese the majority of my life, they said that I didn't have sufficient 2year medical history of morbid obesity.

Most of 2010 I was pregnant most of the year, and the only recorded weight for 2011 was my 6week postpartum weight. So they would not except any of my weights.

The office was going to resubmit after the 1st of the year since then they would only need 2011 and 2012 but Aetna already told me they won't accept my weight for 2011 so I didn't even bother doing an appeal.

Unfortunately I had no need to go to the doctor in 2010 prior to getting pregnant and only went to minute clinics otherwise, and they never recorded my weight.

Do you have any other conditions other then possible sleep apnea? I think they require 2 conditions to qualify cause that's what the woman from Aetna asked me when I walled to check on the status and she told me I was denied.