Well I called aetna my self (again) and asked if gastric bypass was covered and she said yes and went on to tell me the amt I will pay at the hospital and so on. Well I explained that tthe dr office said it was an exclusion. She had no idea what she was talking about and talked to someone else and came back on the line and said no bariatric surgeries were not covered. I said I went through this in January and it was covered, went through 4 months of stuff and now you tell me its an exclusion. Why did you pay for all this stuff so far? She said I had a refferal which is all they require. I say "if i got a referal to a vet would you cover that? or a prostate dr? wouldn't you notice that it wasn't something that should be covered and let me know?" no answer so I told them to get it together and hung up.
I am crying and telling my mother everything and she says " well you have been eating better and you don't drink cokes anymore couldn't you just do it on your own?" As she sets there smoking her cigerettes and moaning with her aches and pains that she only sees a 75 year old country dr about. I say to her isn't that the pot calling the kettel black? I thought you understood its not like I'm gonna sit around eating and go back on cokes. She says good go to the barn and get that old stationary bike and use it. My sister has lost some weight and I am proud of her but don't compare me to her. She has lost 20lbs since oct. she is now a size 16. I feel like I'm in a competition.
Needless to say I am frustrated and depressed. I saw a psycho psychiatrist for nothing and all of this $ for nothing. The only thing good is that I have had goals for the first time in a long time and I have got to know some great people here.
Hey, does anyone think the local health media news (whatever...not thinking straight) would think its interesting or see the irony in the fact that the largest healthcare system in the country has a direct exclusion for bariatric surgery?
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Raquel
312/303/150
highest/ current/goal
Vanderbilt Center for Surgical Weight Loss
3 wks left of 3 mth preop program
then submit to ins and get a date
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