Sh3iz 36 Posted May 12, 2014 (edited) A little nervous after signing my surgical consents today... Not because of the disclosures, but because the nurse navigator basically told me... The insurance may not approve because I had a gain. I was 303 at the start and am now 311... They are sending off for approval.... :-/ wondering if anyone with Aetna better health or medical assistance can ease my mind any... Surgery should be two weeks from tomorrow. Edited May 13, 2014 by Sh3iz Share this post Link to post Share on other sites
kcaves 3 Posted May 13, 2014 I would call the insurance company myself and ask them. Have you been exercising? Could that have caused the gain? Also will the Dr. weigh you again before they go to the insurance company to get the go ahead? I have Aetna Be Well Premier so I don't know if that is the same thing. Can I ask you how much coverage you have with them? Mine pays 50% up to 10K. I'm trying to find someone with the same coverage so I will know how much my out of pocket will be. Share this post Link to post Share on other sites
Sh3iz 36 Posted May 13, 2014 That is my last weight, they are sending off for the go ahead... Let's see what happens. They are said to cover 100%. I'm not sure what the cost is... Shouldn't a doctor be able to let ya know? Share this post Link to post Share on other sites
Tanglesia 15 Posted May 15, 2014 That is my last weight, they are sending off for the go ahead... Let's see what happens. They are said to cover 100%. I'm not sure what the cost is... Shouldn't a doctor be able to let ya know? Have you heard anything yet? Fingers crossed for you. So crazy that you have to lose, you've tried your whole life to lose why is this any different! You need a tool that the sleeve will give you. Share this post Link to post Share on other sites
Sh3iz 36 Posted May 15, 2014 Nothing yet... I'm kinda hoping they look at it that way:.. It's been a struggle and I dooooo just need this tool, fingers crossed... Share this post Link to post Share on other sites
Sh3iz 36 Posted May 19, 2014 Approved and going in 5/27!!! Ugh thank god!!! 1 Tanglesia reacted to this Share this post Link to post Share on other sites
rdy4chnge14 1 Posted June 2, 2014 I have Aetna and I called them 3 times and asked them about the 6 month supervised weigh ins and she each rep stated the same thing that my surgeon stated. They all stated that your first weigh in cannot be more than your starting weigh in. I wish I could ease your mind but with Aetna, yopu CANNOT gain weight at all. Not sure if it varies by states but I am in Virginia. My starting weight was on March 29th. My last weigh in will be August 29th. On March 29th I weighed 406lbs. So in August, I cannot weigh more than 406lbs. Share this post Link to post Share on other sites
rdy4chnge14 1 Posted June 2, 2014 Just read that you were approved. I am happy for you!!! =) Share this post Link to post Share on other sites
Sh3iz 36 Posted June 2, 2014 Just read that you were approved. I am happy for you!!! =) Thanx, yes I was actually sleeved a week ago tomorrow! All went well, good luck!!! Share this post Link to post Share on other sites
brown eyed gal 59 Posted July 6, 2014 I have Aetna and I called them 3 times and asked them about the 6 month supervised weigh ins and she each rep stated the same thing that my surgeon stated. They all stated that your first weigh in cannot be more than your starting weigh in. I wish I could ease your mind but with Aetna, yopu CANNOT gain weight at all. Not sure if it varies by states but I am in Virginia. My starting weight was on March 29th. My last weigh in will be August 29th. On March 29th I weighed 406lbs. So in August, I cannot weigh more than 406lbs. What if in June you weight 410 but by August you are back down to 406? That's what I'm struggling to understand! Share this post Link to post Share on other sites