Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Insurance timeframe



Recommended Posts

So my Insurance required me to have three months of consecutive weight loss and tomorrow is my final weigh-in. After that my understanding is that they will have 30 to 45 days to approve everything. In everyone else's experience, how long was it between Insurance approval and surgery being scheduled? I'm speaking as someone from the United States. My insurance is through Aetna and my surgery is being done by Saint Francis. I've lost weight every month, but I'm so afraid of being denied regardless.

Sent from my Pixel 2 XL using BariatricPal mobile app

Share this post


Link to post
Share on other sites

I also have Aetna. My last weigh in was the 10th of November and my doctor submitted my paperwork. I was approved about 12 days later by Aetna and had my surgery Dec 26. I am a teacher and that date was best for me!! Good luck!

Share this post


Link to post
Share on other sites

anyone with tricare prime?

Share this post


Link to post
Share on other sites

I have Tricare Prime and Medicare


Share this post


Link to post
Share on other sites

i was approved in NOvember and only waited a week for approval but surgery wasn't scheduled until feb :/

Share this post


Link to post
Share on other sites

we have prime remote...husband is deployed and we dont live within 50n miles of a MTF. im excited and nervous; I have been heavy (post partum 11 yrs ago and never lost the baby weight, then 7 years ago just packed on more) for me for so long and have tried to lose it for over 10 years....so depressing....

Share this post


Link to post
Share on other sites

oh man how frustrating! the wait would drive me crazy!

Share this post


Link to post
Share on other sites

6 minutes ago, MoB6227 said:

i was approved in NOvember and only waited a week for approval but surgery wasn't scheduled until feb :/

what hoops did you have to jump through?

Share this post


Link to post
Share on other sites

6 months of nutritionist, psych, primary doc

Share this post


Link to post
Share on other sites

Kaynga, I was gonna tease you a little, if your surgery,is being done by a Saint,it surely will be blessed. Where is Saint Francis located? My hospital's name,is Mount Carmel so while you're relying on a Saint I will be venturing to the Mount. Bottom line I wish you well with your future surgery.

Sent from my VS880PP using BariatricPal mobile app

Share this post


Link to post
Share on other sites

mine is also st Francis...tulsa ok

Share this post


Link to post
Share on other sites

1 minute ago, kakatlady612 said:

Kaynga, I was gonna tease you a little, if your surgery,is being done by a Saint,it surely will be blessed. Where is Saint Francis located? My hospital's name,is Mount Carmel so while you're relying on a Saint I will be venturing to the Mount. Bottom line I wish you well with your future surgery.

Sent from my VS880PP using BariatricPal mobile app

Haha, I didn't even realize since I'm so used to it as a hospital name. It's St. Francis Hospital in Indianapolis. I guess we'll both be blessed at least. ;) I wish you the best on your surgery as well!!

Share this post


Link to post
Share on other sites

ok not to obsess over the tricare issue, but if you go thru a MTF do you have to pay anything out of pocket? I am 2 hours away from one but id go there for that if I dont have to pay office visits...

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 0 replies
      1. This update has no replies.
    • 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

        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

      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

      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

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×