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@@wwboy

What do you mean; we you say on round one? How many rounds do we have to go through?

Sent from my iPhone using the BariatricPal App

I just meant that Unlike some people who seem to have to make multiple requests before getting approval, my approval came on the first round of submissions.

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Two days after approval I received my surgery date! August 3!

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@D'Sleeved

Well, I will be working half days the week after surgery. This is not ideal. I will bring my son and have a chauffeur (teenage daughter - thank God - can drive). I will take it slow and work seated as much as possible. I am the building testing expert for language learners and do not have anyone else trained AND able to sign off on their testing. If it just does not work, then i will contact those at the district office to discuss options for assistance. Praying for an uncomplicated surgery with God's blessing and guidance throughout.

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@D'Sleeved

Well, I will be working half days the week after surgery. This is not ideal. I will bring my son and have a chauffeur (teenage daughter - thank God - can drive). I will take it slow and work seated as much as possible. I am the building testing expert for language learners and do not have anyone else trained AND able to sign off on their testing. If it just does not work, then i will contact those at the district office to discuss options for assistance. Praying for an uncomplicated surgery with God's blessing and guidance throughout.

.

I've been approved

Sent from my iPhone using the BariatricPal App

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Good Morning everyone! I needed some feedback and support regarding insurance not paying for bariatric surgery, I also have Aetna POS here in Louisiana and I too went through the 90 day program one of Aetna requirements, I fit all of the criteria and just last week received noticed I was denied because I gained 1 lb and did not schedule my procedure within 6 months of my initial start date. I was in shock, upset, and very disappointed. how can this be, initial program date 6/25/15 last weigh in date 9/16/15 and immediately was denied, I researched and hired obesity advocate /attorneys to fight this since Dec 2015 to start the first appeal process and last week the appeal was denied because I gained 1 lb. I do not understand that policy, I weighed in summer which means my clothes were lighter, then last weigh in was September which my clothes would have been a little heavier 1 lb is not a significant amount of weight to consider because 1 to 2 lbs can come from many factors such as clothes, time of the month, or if I had a snack or lunch prior to the appointment my clothes alone would weigh 1 to 2 lbs COME ON'. I can understand if I gained 5 lbs to 10 lbs of weight. OMG!! I want to scream...... Has anyone experienced AETNA denying surgery for weight gain and then was approved after it was appealed first or second time? Now we are going for round 2 and want to know if it is worth it bec I am so disappointed with Aetna. HELP!! please ADVISE!!

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