Aimze 0 Posted July 13, 2005 I can't believe I am writing these words. After a year of fighting for the band I just found out I am approved. I had given up on the band and was in the process of going for the bypass. A little back ground I have Aetna. It is a self funded insurance plan.I had to hire a lawyer I went through all of my appeals. Practically begged my Husband job to overturn the decision but they did not want to set a precidence ( their words) and finally had a 3rd party review who overturned the denial. I have a tentitive surgery date of August 29th. Since i did all of my tests a year ago they have to find out if i have to re-do any. Ireally hope not. So keep fighting for what you want and deserve. It is all possible... Share this post Link to post Share on other sites
Madeline's mom 0 Posted July 13, 2005 Three cheers for you! It is nice to know that there are people who are getting approval for banding despite all the 3rd party red tape. Share this post Link to post Share on other sites
Mita 2 Posted July 13, 2005 Hurray for you:) I am so glad you did not give in or up.. Share this post Link to post Share on other sites
the best me 6 Posted July 13, 2005 Wowza, girl! Way to go! I'm very proud. I not near as patient or persistant as you. It paid off!!! Yippeee!!! You, my friend, get a banana! :banana Share this post Link to post Share on other sites
Alexandra 55 Posted July 13, 2005 Congratulations!! I'm so proud of your determination and persistence. That's the way to win!! YAY!!! :) Share this post Link to post Share on other sites
Aimze 0 Posted July 13, 2005 Thank you all so much> I can not wait to be on the losing side of things... Share this post Link to post Share on other sites
Iluvharleys 15 Posted July 13, 2005 Good for you! I always say "Good things come to those who wait". Share this post Link to post Share on other sites
tambonzjo 7 Posted July 14, 2005 WooHoo!!! I hope you become the biggest loser ever!!! Share this post Link to post Share on other sites
I'llsucceed 1 Posted July 14, 2005 Your a Champ in my BOOK FOR SURE!!!!!!!!! Share this post Link to post Share on other sites
Aimze 0 Posted July 14, 2005 Thank you all so much this means the world to me. I feel like i am getting a new life. I am having my surgery in the hospital I was born in. Its like being reborn..lol Share this post Link to post Share on other sites
txbldhnds 0 Posted July 15, 2005 I fought for 3 years, but those people had it sewed up. As circumstances would have it, I sold some property to pay for the band and got my date today--July 20. Like you, I feel like I will have 2 birthdays this year--July 20 and my birth day. Hey, I like the sound of that! Does that mean more presents?? Congratulations! Colleen Share this post Link to post Share on other sites
Aimze 0 Posted July 15, 2005 I am thinking it should mean lots more presents...lol Good luck on the 20 th I will be looking forward to reading your post after surgery.. Amy Share this post Link to post Share on other sites
Guest desparatetolose Posted July 25, 2005 I can't believe I am writing these words. After a year of fighting for the band I just found out I am approved.I had given up on the band and was in the process of going for the bypass. A little back ground I have Aetna. It is a self funded insurance plan.I had to hire a lawyer I went through all of my appeals. Practically begged my Husband job to overturn the decision but they did not want to set a precidence ( their words) and finally had a 3rd party review who overturned the denial. I have a tentitive surgery date of August 29th. Since i did all of my tests a year ago they have to find out if i have to re-do any. Ireally hope not. So keep fighting for what you want and deserve. It is all possible... TODAY IS THE FIRST TIME I VISITED THIS SITE & IT IS GREAT. I ALSO HAVE AETNA, & FULLY BELIEVE THAT THEY WILL NOT COVER THIS, SO CONGRAULATIONS ON YOUR SUCESS. I WAS WONDERING, WHAT IS THE MEDICAL CODE FOR THIS SURGERY, SO I CAN START DOING SOME INVESTIGATING. THANKS & GOOD LUCK WITH YOUR SURGERY. Share this post Link to post Share on other sites
the best me 6 Posted July 25, 2005 I WAS WONDERING, WHAT IS THE MEDICAL CODE FOR THIS SURGERY, SO I CAN START DOING SOME INVESTIGATING. The CDT? code is 43843 for AGB (Adjustable Gastric Banding) or Lap Band. Good luck! Share this post Link to post Share on other sites