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Posts posted by lkcraig316
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Hi, Lisa,
I'm not sure if all Aetna plans are the same, as far as their requirements with documenting diet/exercise. You should be able to check with your dr's office (if you picked one yet)/ They work enough with ins companies to know. I don't remember what percentage of weight Aetna wants presurg/preapproval too. Will keep you informed.
Cheryl from Ohio
Thanks, Cheryl!
I do have a surgeon picked out and have gone to an assessment at the clinic. Since my insurance is not effective until 1/1, they are going to call me back the first week of January to set up appointments, etc. I will have a better idea then. I just don't want to leave out ANY of the steps and be delayed because of that!
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Congratulations! I have an aquamarine ring (my birthstone) and I will be thrilled when I'm able to get it on a finger other than my pinkie.
I think the biggest day for me will be the day I am able to walk into the regular ladies department and buy something that fits.
I'm beginning the process January 1 and hoping to be approved for surgery by April or May. You guys continue to give me encouragement that I am making the right decision.
Lisa
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HI, Keshia,
I am fairly new to this process. Nov 9th I had all day appointments with the dietitian, psychologist and physician for a physical. Had bloodwork in the AM. Already knew I had sleep apnea and have been on a CPAP since April. Aetna requires 3 months of nutrition counseling with documented food and exercise logs. I guess they are big into making sure that you are ready for a major lifestyle change before they approve the surgery. Just completed my first month and met with the dietition last evening. She says I am doing great. I hadn't heard of the sleeve before I started doing research on line. Several girls where I work have had the lap band and have lost significant weight but I hear that they binge then barf it right back up and eat some more! My 3 months of nutr appts should be done in Feb so they say I should be able to have surgery in March/April if I can work things out. Since I am part-time night shift I have to ask work if they are willing to work with me to let me do light duty for a few weeks so I can help out and still get payed but am not exposed to hostile situations. I am using this time to clean up my eating habits and bust my butt at the gym. The sleeve is the best choice for me and I thank God that it's covered by my insurance. Good luck to you.
I'm glad you posted. I also have Aetna and knew I had to go through 3 months of meetings/appointments, etc., but I did not know about the documentation for the diet and exercise. I am beginning the 3 months on January 1 (my Aetna goes into effect then) so I will start immediately with the documentation. Keep me updated!
Lisa
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Hi, Mona!
I'm new on here also. I just started the process with an assessment at the surgeon's office. I will begin my 3 month prep on January 1. Am hoping to be able to have surgery in May or June.
I'm hypoglycemic too. It runs in my family. I was kind of wondering if I would have any problems with that afterward, being restricted from carbs and eating so much Protein. I have tried low-carb diets in the past and have been very discouraged because my body couldn't handle it. Please keep us updated on the process after surgery.
I am at 243 pounds and am looking to lose down to between 130 and 140. Just getting below 200 would be a cause for celebration!
Good luck on the 16th! I will be thinking about you.
Oops! I didn't realize this was the GLBT board. Hope you don't mind that I crashed it.
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Hello Keshia, Mary and LK,
My current insurance does not cover any WLS so I switch to one that does in January. I have already started the hoops. For my new insurance I have to do 6 months supervised weight loss, 6 months of support group (I am not sure if VST counts so I started the live type), nut meeting and psych eval. All that being said, I don't have a clue when I will be able to get the sleeve. So am right there with you all. Hugs!!!
Oopsseedaisy, I had the same issue. I was on my employer's plan but it doesn't cover any kind of WLS. So effective I will be on my hubby's and his does cover the four WLS types. Let's hope we both have smooth sailing.
Mary, good luck with your approval. When I think about how long it may take, I just keep reminding myself how long it took me to get into this condition and it doesn't seem too bad.
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Hi Keshia and Mary from AZ.
I have also just started my journey. I had an assessment done on Monday, and their insurance specialist said I qualified and should be approved with no problem. I started out very very positively Sleeve, but in reading the packet I got at the doctor's office I'm wondering if I'm doing the right thing. Here's what I'm thinking:
Gastric Bypass--The weight would drop rapidly, but I really am scared of the dumping syndrome and I know I could stretch the stomach back out again
Lapband--I don't like the fact that there would be a foreign object in me at all times and a port for adjustments.
Sleeve--I like that it has fewer complications post-op, but I'm worried about feeling nauseous all the time
After January 1, when they reassess my insurance, I will go to see the surgeon, have my meeting with the nutritionist and exercise physiologist and my psych eval. I also have to get a clearance from my cardiologist (I have a congenital bicuspid aortic valve) and a letter from my PCP validating my weight and co-morbidities. Another two months of meetings, support groups, appointments, and I should be ready to have my stuff submitted to the insurance company by April 1. Then I guess the waiting game starts.
I'm both excited and terrified! But I am so sick of being this size and being limited by it.
Good luck to both of you! Let's keep in touch as the process continues.
Need Help with Soda Addiction
in PRE-Operation Weight Loss Surgery Q&A
Posted
I will begin my journey on Saturday, January 1. New year, new me, right? I have been to a consultation to see if my insurance would cover the procedure and last night watched my surgeon's online seminar with my family. I have three months of hoops to jump through to get an approval. I want to begin eating healthy and get moving NOW, so that the habits are there before the surgery. One problem . . . I am a Pepsi Fiend! I'm talking full sugar, full caffeine, the works.
I did go off sodas completely at the beginning of 2010, and after an agonizing week of pain and lethargy, I was OK. Unfortunately, old habits die hard and I am now back almost as bad as I was to begin with. Does anyone know a good way to wean off the sodas. I drink about 2-3 Pepsi canned drinks a day, but it's the morning one that is crucial. Has anyone tried mixing Diet and non-diet? Caffeinated and caffeine-free and slowly going off that way? Or is it better just to prepare myself for a week of misery and just do it cold turkey? If I didn't have to work, it would be a no-brainer, but I have to be able to function and not commit murder when someone annoys me.
PS I DO NOT drink coffee. I do love me some homemade sweet tea because I'm a Southern girl!
Lisa