Aetna Net weight gain

[Lenamarie301 43]

I was thinking of possibly starting over with the surgeons office dietician. I don't think they take insurance for it though but it may be worth it.

My BMI now is 38.8. I hate that the surgeons office won't submit for an authorization from AEtna until after I have done everything because aetna will tell me nothing so I will like I am running in circles.

Call the insurance coordinator at your surgeon's office and ask if she can help you figure out detailed requirements. Some plans make you start over (with supervised diet) if you've gained at all. It all depends on your specific plan.

If they submit before you complete your program they will deny you for not completing the program. Don't get discourage. Make sure you don't gain anymore weight and complete the program and all of Aetna's requirements. Don't let anyone discourage you if I did I wouldn't be where I'm at now. Good luck!! Keep us posted.

Thank you. I am allowing myself to feel defeated but I will not quit! Thanks for the motivation.

[rking 484]

You can do this. You WILL do this!!!!!! Keep at it

[Better_Sleeved_Me 11]

I think it depends on who reviews your records. I did not gain more than my first recorded weight but I did gain 1-2lbs on my last visit. My final weigh in was less than my first. Hope this helps.

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[taylorelaine 9]

I have Aetna and was denied the first time because of this. I was required to do six months of nutrition visits and they took the weights from my first appointment and my sixth. I had gained one pound and was denied over it! It's definitely important to be in the right mind set, having to redo those six months of visits really made me change my way of thinking and eating!

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[Lenamarie301 43]

I am actually switching from the nutritionist I picked and going with the surgeons office. It's only a 2 month set back but I really feel like I will get better results this way. I want to get on the same scale so my measurements are always correct. Now I have to really focus on making sure the last weigh in is less than the first!

I have Aetna and was denied the first time because of this. I was required to do six months of nutrition visits and they took the weights from my first appointment and my sixth. I had gained one pound and was denied over it! It's definitely important to be in the right mind set, having to redo those six months of visits really made me change my way of thinking and eating!


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[MemphisWLS 58]

I had my surgeons appt last week and was told the last weight MUST not be more that the first one. You can gain 1 or 2 in the middle but the first and last must be the same or the last must be less. I am sure some pple hv been approved outside the requirements, but that's not the norm. I think someone asked about about the 3 months/6 months with Aetna visits...can't remember but, You can do either, my surgeons office will not accept the 3 months so unless I am willing to switch surgeons, it's 6 months for me. I am okay with that though, this is not one decision I would want to hurry through.

Good luck ladies and let's keep encouraging each other.

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[olamae 16]

I have Aetna and was denied the first time because of this. I was required to do six months of nutrition visits and they took the weights from my first appointment and my sixth. I had gained one pound and was denied over it! It's definitely important to be in the right mind set, having to redo those six months of visits really made me change my way of thinking and eating!

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[olamae 16]

I have Aetna and was denied the first time because of this. I was required to do six months of nutrition visits and they took the weights from my first appointment and my sixth. I had gained one pound and was denied over it! It's definitely important to be in the right mind set, having to redo those six months of visits really made me change my way of thinking and eating!

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So when you weighed in the last time you weighed more than the first time you weighed?

[taylorelaine 9]

I have Aetna and was denied the first time because of this. I was required to do six months of nutrition visits and they took the weights from my first appointment and my sixth. I had gained one pound and was denied over it! It's definitely important to be in the right mind set, having to redo those six months of visits really made me change my way of thinking and eating!

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So when you weighed in the last time you weighed more than the first time you weighed?

Yeah, I weighed a pound more!

[LindzLoxx 22]

Does anybody know if this is how it works for Cigna as well? My nutritionist never said anything. I asked her if I had to loose a certain amount and I got a straight no. But didn't mention anything

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[taylorelaine 9]

Does anybody know if this is how it works for Cigna as well? My nutritionist never said anything. I asked her if I had to loose a certain amount and I got a straight no. But didn't mention anything

I'd imagine it's the same. You can remain the same or lose but you can't gain weight!

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