Help Me Please!!!

[wrabago 0]

Ok got a really serious question hopefully ill get some help. I have Aetna Choice Pos. I have to do the 6 month supervised diet. Now heres my question i have been told by both my pcp and the surgeons office that the first visit to your pcp counts if you got weighed and discussed a diet and execise plan. Yet i have have been reading on the forum that the first consultation does not count. I called the insurance company and nobody knows anything. Second question i did gain some weight on the diet. I started off good then fell off. Its hard when the wife is pregnant and cooking up a storm. Plus along with some financial issues a diet really took second fiddle. So will that get denied that i gained weight or do they just want to see that i went all six months. Any and all advice or opinions will be greatly appreciated.

[DENTALSPIT 0]

my insurance took the weight gain as a sign that i wasn't able to do a regular diet. so they approved me.

[misslonglegs 0]

no worrys I have the same insurance in I gained 12 pounds within the 6 months, not trying to encourage you but do not worry also the First vist counts as long as you were weighed in..GOOD LUCK!!!!!!!!

[delia 0]

i have aetna POSII and i did not lose any weight and gained l lb on final weigh in. I got approved in 1 week.

Im on preop diet, been on it for two weeks, in the middle of my third and i've only lost 7 lbs. I read most people lost like 20 lbs in two weeks. NOT ME OR MY BODY!! And im on nothing but Atkins shakes.

good luck!! it'll be fine

[wrabago 0]

You guys are the best. Thank you all.

[jbarry0201902 2]

I read the guidlines on Aetna's site and they had 2 conditions. So my question is do they make you do the 6 month diet? I read something about a 3 month diet and supervised exercise program. Does anyone understand that stuff?

Thanks!

[WDW Luver 0]

I read the guidlines on Aetna's site and they had 2 conditions. So my question is do they make you do the 6 month diet? I read something about a 3 month diet and supervised exercise program. Does anyone understand that stuff?

Thanks!

There is a 3 mo. program but I think it is fairly new. My dr's office is extremely "with it" when it comes to the insurance companies requirements and how to meet them. But they weren't familiar with this. I gave them the information from the insurance company Policy Bulletin and they are going to check into it more. Until then I am doing it in a CYA manner. I may be doing too much, but hopefully it will allow me to have surgery 3 mo. earlier.

Do a search on this forum for Aetna and you should find information. Basically you have to see your PCP and a nutritionist and have detailed records from them on your diet changes, behavior changes and exercise. I am also seeing a registered trainer to meet the exercise requirement since things are rather confusing on that point.

[HappyHomeCC 2]

I have Aetna choice pos II I had the consult today, and psych eval.... I have to do 3 months with nutritional advisement... i was weighed in today at 41.6 BMI. Basically they told me don't worry about the 3 months today counts as one month... and i did ask if I gain or lose does it matter, they said it did not. I can move ahead and schedule my other tests all in one day .

Hope this Helps

I am so excited I am going to get my life back!!!!!

[jbarry0201902 2]

I have the POS II also. I haven't talked to anyone at the office yet on what has to be done. I have to start from the beginning. I went to the seminar and all that before but since it was a year ago I have to start over. But I can't wait. I would love it if they tell me I just have to do 3 months!

Thanks for the response!