Mz Incredible

Hey Everyone,

First off I would like to CONGRATULATE all of u on your wonderful accomplisments...I've been stalking most of u for months! I decided to get this surgery because I was afraid that I would have no life. I'm 19, full time college student and full time employee, and i pre-occupy myself with work and schook to try an escape the reality of being overweight...BUT DAMMIT....its time to LIVE, and I am ready! I already completed all my requirements for Aetna, submitted, and I am awaiting word from them at this time...Aetna better approve me...cause aint no way I'm gonna settle for a " Your surgery has been DENIED" Hopefully I will have some good news to share soon, and a couple months even some pic!

Hychap2009

Hi and Welcome to TT

I don't know much about the insurance process you go through other than what i've read on here, because I live in the UK and we have a different system. However, I would say at this time try to stay positive about the outcome - and should you find that you're denied, like a lot of others here appeal their decision. I'm sure other members will be able to advise on this. Right now though it really is a little premature.

Good Luck.

__________________
Height 5ft 2"
2004 Highest weight: 22 stones/308 lb
[COLOR="Purple"]2009 Current weight: 19 stones/266 lb/121k[/COLOR
BMI: 53.2
BMI Member No. 7

Weight Loss Surgery: Vertical Sleeve Gastrectomy

Added to waiting list: 23 January 2009
Pre-Assessment date: 3rd July 2009 (accomplished)
Assessment call back: 10 July 2009
Transvaginal Ultrasound: 7th August 2009
Surgery date: 30th November 2009
GYM RAT ♯145
The race is not for the swift but for he who can endure to the end.

Mz Incredible

Thanks u...i am definately trying to remain positive!

Scooty's Mom

Hello and welcome to TT. My insurance is Aetna and I was approved with in a week of submitting my paperwork. I wish you all the best on your journey and may the Aetna representative that gets your paperwork grant you your wish! (My Dr. said the approval process depends alot on the rep. that gets your file!)

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Take care,
Lynn




Surgery date- 7/2/09
day of surgery/current/goal
262 / 202 / 145

If God brings you to it, he will bring you through it!

LisaJo

Best of Luck....I hope the approval process is quick and painless! MIne was......and now its 6 months after surgery already. I know it may not feel like it at the moment but time goes SO fast! Will keep my fingers crossed for you

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First Consult Nov 08.....310 lbs
RNY April 6 '09.......290
Current.......193 (9/25/09)

gooberific

I wish you luck on a first-time acceptance. Aetna is my secondary insurance, and they don't cover the sleeve -- I got a denial letter for it, which I knew was going to happen -- but they did cover part of my surgeon's fees and anesthesia fees anyway. (I have BC/BS which covered me.)

My insurance claim was submitted to and accepted by BCBS within a week. I really think that it shouldn't take very long to hear back, but sometimes you get those reps at the insurance who dawdle.

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Mz Incredible

Thank u guys sooooooooo much... I'm awaiting word right now....today makes a week...so hopefully i get a call later today..FINGERS CROSS!

Debz

Welcome to TT and good luck. I have Aetna and they green lighted me ridiculously fast. Keep us posted.

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Debbie
Lap RNY 8/6/07
Highest/Day of surgery/current/goal
251/237/126/131


Goal! I did it!
111 pounds gone since my RNY
125 total pounds gone forever!
Maintaining within a few pounds up and down. 130 is my goal and I've been hovering a pound or two over it for months now.
BMI 22.3


I am not a tame lion......

MiladyB

Welcome to TT. So glad you decided to come out of lurkdom and post! The waiting process can feel like it takes forever! I don't have Aetna, so I can't help you there. My insurance approved me within 2 weeks but my surgeon was the one who put on the breaks for 6 months after seeing my lab work.

While you are waiting the best thing you can do for yourself is to do your research! Keep reading and asking questions of all of us. I firmly believe the more educated you are before going into surgery the more prepared you will be for the inevitable bumps, hills and gullies you will experience on this journey. It isn't an easy road. You are given a tool but you have to know how to use that tool and use it correctly for life!

__________________
~Beth~

Little Victories; Grand Rapids, MI
Bariatric Support Group

Diabetes, high blood pressure, sleep apnea, high cholesterol,
peripheral vein disease, joint pain and 210 lbs GONE!!


Century Club: July 3, 2006
ONE-derland: Dec. 22, 2006
Double Century: May 29, 2007
Goal: June 15, 2008

Lap RNY: 1/30/06-Dr Randal Baker
TT/BL: 09/21/07-Dr Ronald Ford
PS Revisions: 04/29/08-Dr Ronald Ford
Gallbladder: 05/14/08-Dr Randal Baker
Emergency surgery (Intussusception): 02/29/09-Dr James Foote

Mz Incredible

oh mehn......just called Aetna....nothing YET..do they really want to add a heart attack to my health resume! This wait is killing me...my personal health advocate said she'll give me a call later this afternoon...can a really wait until then...somebody shoot me!