New and disappointed - ThinnerTimes

Queen B · 05-26-2007, 06:46 AM

My surgery has recently been denied by Aetna. Is there anyway around the 5 year obesity clause and 6 months of medically supervised weight loss clause.

TX DEB · 05-26-2007, 07:19 AM

I just wanted to welcome you to the forum family. Sorry for your disappointment. I don't know the answer to your question except to say that if you want your insurance to cover surgery you have to jump through the hoops with what they require. Different Doc's also require different things. the process can be exhausting, but don't give up. Other's have gone through a lot too maybe they can be of more assistance.

LyndasRoom · 05-26-2007, 08:34 AM

Hi and Welcome.
Sorry for your denial. They have those requirements for good reason, though we don't like them at the time. I don't know of any way around them. Keep reading, and start your 6 month supervised program asap!

Queen B · 05-26-2007, 02:56 PM

I plan on jumping as high as I can...I was just hoping there was a faster way. I have an appointment 5/03/07 to start the supervised weight loss process.

Have a good weekend!!!!!!

Ruca · 05-26-2007, 03:34 PM

I was so confused. I was thinking, Queen B? Shes like way post op! Then I realized its someone else!

Best of Luck QB!

Bypassingme619 · 05-26-2007, 07:26 PM

Tammy that is what I thought. I just thought it was somebody pulling up an old post of Britts. Hang in there Queen B. If they want you to walk through the 6 moth supervised diet, do it until you can find a way through the hurdles. Six months pass really fast.

Gina in NY · 05-27-2007, 06:28 AM

but really, it will pass faster than you think and may give you a heads up on the kind of life style changes you need to adopt. I had to lose 10% of my weight before I could even talk to my surgeon. It almost killed me emotionally, but got me to the gym (where I now live) and taught me a lot about who I am without the food.

I think my post-op life had fewer adjustments because I made some changes during those 9 months it took me to lose 28 pounds. Yea - it took that long! So 6 months sounds good to me!!

5 year obesity thing - if you have co-morbidities, they might let you by. How long have you been obese?? Can you doctor write to them and say you're in trouble if they don't do something soon??

And of course, welcome. Your screen name confused me too, but luckily, others figured it out.

Good luck!