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cjclark220

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courtknee_luv    52

courtknee_luv
Posted

I have Aetna and for me it has been not a good experience. My md office sent in all the info on sept 21. I called and confirmed they had everything on the 22nd. I called everyday there after including today..... My prior authorization is STILL PENDING and my surgery is scheduled for October 6. I feel so angry.

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cjclark220    17

cjclark220
Posted

omg!!!! that sucks... all my paperwork is in also and my surgery scheduled for the 20th... I will stay on them as well

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I would call them 48 hours after the information was sent in. They should have an answer for you.

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thx... I called today and so far still pending

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mr1121    59

mr1121
Posted

@cjark220, I have Aetna and as long as you have done everything they required the approval time is less than a week. I just got in the mail an approval for surgery on the 28th but we changed my date to the 11th. As long as I pass a nicotine test. They only gave me 1 week notice.

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quirkhorse    30

quirkhorse
Posted

I have Aetna. Mine was submitted on a Friday and I had approval on Tuesday. I really expected a fight because I had a BMI of 36 and my comorbidities (PCOS, prediabetes) were not on the official list. I was shocked that they came back with a positive so quickly.

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courtknee_luv    52

courtknee_luv
Posted

@cjark220, I have Aetna and as long as you have done everything they required the approval time is less than a week. I just got in the mail an approval for surgery on the 28th but we changed my date to the 11th. As long as I pass a nicotine test. They only gave me 1 week notice.

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There was a problem at Aetna, that they acknowledged they had only assigned a nurse to my case as of this morning. So it literally sat at Aetna for 10 days. I'm glad you had a different experience, I hope @cjark220 is better than mine too

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Jen_B    2

Jen_B
Posted

I have Aetna and for me it has been not a good experience. My md office sent in all the info on sept 21. I called and confirmed they had everything on the 22nd. I called everyday there after including today..... My prior authorization is STILL PENDING and my surgery is scheduled for October 6. I feel so angry.

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I had quite the ordeal with them. Be sure to speak with whomever is reviewing packet. Be sure they have ALL necessary documentation. My surgon's office had to send some dulicates. They finally approved 4:30 pm when my surgery was scheduled for 8:30 the following morning!!! Stay on them and work closely with your surgon's office. All the aggravation is sooooo worth it when you are on the other side!!!! Goodluck :)

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courtknee_luv    52

courtknee_luv
Posted

hi... my surgery is tentative for the 13th. Does anyone else have Aetna and do u know the waiting period with the insurance company?

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Hey I just got approved through Aetna yesterday. My surgeons office did have to call but it's all taken care of . There is light at the end of the tunnel !!!

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sherri~    77

sherri~
Posted

I gained almost 20 pounds and was approved....mostly because of my comorbidities. Didn't even have to appeal it, and no one at the surgeons even blinked an eye.

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • 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.😒
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      1. NeonRaven8919

        NeonRaven8919

        Congrats on the surgery!

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