Finally beginning my journey!

[jessgro610 4]

I am 25 years old, a registered nurse working on med/surg bariatric unit, and have been overweight since adolescence. For four years I have wanted to get the sleeve done, but my parents insurance was a no go. This year I started working in a hospital with great insurance and just had my first appointment with the surgeon today! My surgery will be in Febuary as long as everything goes as planned. I have Aetna and have to make it 90days, no weight gain, psych eval, an upper GI study(just Xrays with contrast), and three nutritionist visits. I'm at my highest weight of 375 right now and my BP is periodically high. In January, I'm going on a cruise so that's why we're pushing it to February. I am beyond excited and ready to push through all of this!

[Mnicole 17]

Happy for you! When I started the process back in December I had BCBS through providence (moms insurance) and was only required to do 3 months supervised diet but my mom lost her job in February which would've been my 3 months so I had to start the process again with tricare which are a PAIN to deal with. They require a 6mo plan and psych eval so thank gosh I had already done 3 months but I ended up gaining so I had to do an extra month. Then it took forever to get scheduled for a psych eval (they were scheduled for a month out already) my first appt didn't go so well, she had written that I wasn't a good candidate and needed a follow up appointment because she didn't think I had gotten enough nutrition information since I had an off base dr. She said I was a good candidate after my follow up appointment so I could finally send in all my documentation. It took a month to find out I was denied because "they didn't get all my documentation" which was sent. Then I had to start the appeal process which took another month and today I finally found out I got approved! I hope you don't have any complications like I did:)

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[jessgro610 4]

Happy for you! When I started the process back in December I had BCBS through providence (moms insurance) and was only required to do 3 months supervised diet but my mom lost her job in February which would've been my 3 months so I had to start the process again with tricare which are a PAIN to deal with. They require a 6mo plan and psych eval so thank gosh I had already done 3 months but I ended up gaining so I had to do an extra month. Then it took forever to get scheduled for a psych eval (they were scheduled for a month out already) my first appt didn't go so well, she had written that I wasn't a good candidate and needed a follow up appointment because she didn't think I had gotten enough nutrition information since I had an off base dr. She said I was a good candidate after my follow up appointment so I could finally send in all my documentation. It took a month to find out I was denied because "they didn't get all my documentation" which was sent. Then I had to start the appeal process which took another month and today I finally found out I got approved! I hope you don't have any complications like I did:)

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I'm sorry you went through all that. Luckily with the insurance I have, by using the hospital I work for, I'll pay nothing. But all the approval stuff goes through Aetna, which my surgeon says as long as you stick to the rules they give no problems with approval. Good luck!

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