Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🌈 "1 per Day!" Bariatric Multivitamins

Aetna frustrations!

ashrn80

By ashrn80, in Insurance & Financing

Recommended Posts

ashrn80    27

ashrn80
Posted

Before I start I just want to say I know the purpose of this is to lose weight!!

My frustration is that I just learned that Aetna has made a new requirement....from your first weight if you gain 1 lb you will be denied!!!! Seriously? This concerns me because I haven't had any of my education at this point I start next week but my 1st eval was 1/31 if I've gained 1 lb I will be denied?!? I have 12 weeks of classes to attend if I lose weight at every appointment but gained 1lb between 1/31 and 3/26 I'm going to be denied? Anybody know anything about this?

Share this post

Link to post
Share on other sites

April36456    1

April36456
Posted

I have Aetna. Had surgery Dec 5. I had to do 6 months of a weight loss program. During it my weight flucuated more than a pound and they paid out no problem. Hope all works out for you. Don't give up.

ashrn80 reacted to this

Share this post

Link to post
Share on other sites

ashrn80    27

ashrn80
Posted

I have Aetna. Had surgery Dec 5. I had to do 6 months of a weight loss program. During it my weight flucuated more than a pound and they paid out no problem. Hope all works out for you. Don't give up.

Oh goodness I hope that's true for me!!! Thank you!

Share this post

Link to post
Share on other sites

LivingForGod    111

LivingForGod
Posted

Aetna denied me for gaining weight. I had to do an appeal and I was approved then. Had surgery 1/31

ashrn80 reacted to this

Share this post

Link to post
Share on other sites

LivingForGod    111

LivingForGod
Posted

Aetna wants you to either loss or maintain your weight. So just say if u started at 300lbs and you lose weight at every appointment and you do gain as long as you dont go over 300lbs. You can not go over the weight you were at your first weigh in. Does this help??

lynn2win reacted to this

Share this post

Link to post
Share on other sites

ashrn80    27

ashrn80
Posted

Aetna wants you to either loss or maintain your weight. So just say if u started at 300lbs and you lose weight at every appointment and you do gain as long as you dont go over 300lbs. You can not go over the weight you were at your first weigh in. Does this help??

It does! I was understanding differently. That's reasonable I feel!

Share this post

Link to post
Share on other sites

LivingForGod    111

LivingForGod
Posted

Your welcome!!

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
Go To Topic Listing Insurance & Financing

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • rinabobina

      rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 0 replies
      1. This update has no replies.
    • cryoder22

      cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        NeonRaven8919

        Congrats on the surgery!

  • 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

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×