sueob1968

Awesome.....congrats....when is your date?

Bella, I am sorry, my response wasn't complete. I had decided to pay out of pocket as I had done everything required from Aetna. I did 'self pay' but kept working thru Lindstrom Advocacy, and after all appeals were denied, it went to an independent board, who approved it, so Aetna has to pay. I am now working with the surgeon and hospital, so they can submit the claims and I will be reimbursed. Apparently, they have 90 days from date of surgery to submit charges. I don't necessarily recommend risking it, but I needed to move forward on this. Either way, I had decided to have the surgery. I feel blessed that I will get my money back. I have about a month to get this resolved. All the billing offices have been helpful in submitting the claim now. If I can answer any questions, please let me know. It is so disappointing when you get a denial! For me, it was getting easier, when the 3rd denial came in. I had already convinced myself, I was making the right choice! I was elated when the independent board finally approved me. Don't give up if this is the right choice for you!

Bella, I was denied 3 times by Aetna. I was so disappointed. I contacted LINDSTROM OBESITY ADVOCACY, and they got involved. After all appeals, it was approved by the independent review. They do charge for their services, but I believe they have an 80% win rate. I had made the decision to pay out of pocket, but ultimately I was approved. Kelley Brown Lindstrom was very helpful, and not pushy at all. It is something to consider. Hope this helps. I know how hard it is to be denied....

I questioned if I really had anything done. You'll know for sure in time. Enjoy the journey.

You could set break time, and take 10 minute walks, 3 or so times a day. Do stairs as much as possible. Every bit of effort will help and as you feel better, you will continue to make the effort. You need to put yourself first. A few minutes won't put you that far behind. Maybe get an ear piece for conf. calls and lift hand weights? you have to think "outside the box". Good luck-you can do it!

I am working on second appeal with Lindstrom OA.

I was denied twice so far. I have asked Lindstrom Obesity to assist. Hoping it will be approved. If not..self pay. Good luck. Don't lose hope..seems Aetna approves a lot of people without denial...but if you look, they deny a lot too,

I asked and they told me there wasn't. They should! It's hard to,be patient! hang in there.

Thank you. I did contact them and they were more reasonable($) than I expected....I will keep my fingers crossed?

BMI has been above 30, but not 35.... I was above 35 when I started seeing a weight mgmt specialist. he is a medical doctor.

That's a thought. How much does the lawyer charge?

Thank you for the suggestion. I am not sure what I will do. How is 'after care' handled if you had in MX?