Everything posted by Crosby
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How long will it all take?
Still to broad range to give you a good answer. If your insurance doesn't require any time frames for weighins it would the be based on your surgeons requirements. ( my surgeon only requires 1 day of liquid diet and schedules people typically in 2 weeks once they have insurance approval. I have read others that surgeons scheduled months out.)
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How long will it all take?
Totally depends on your insurance requirements. Some have been really short and others up to a year. Mine required 6 month overview with monthly weigh ins and a net loss ...among other things. Call your company and get a copy of their requirements.
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50's
Great to hear all the successes. I am 54 and started the process for RNY in May of 2014. I have had hip issues for years and finally had to have hip replacement in December. I am mending well and hoping to have RNY in either February or March. It was all delayed because of the hip surgery. Orthropedics surgeon will release me next week and all my pre op requirements are completed. I had lost 130 pounds before my hip went and gained 80 of it back...dealing with physical limitations by eating. Now with the new hip I am hoping the surgery will help me get back to the life I was enjoying before I regained the 80 pounds.
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Aetna last visit today
Good luck to ya! Icompleted mine last of December. I still booked a January with my PCP as I don't want any glitches. I gained 4 pounds ( had hip replacement surgery a few weeks before weigh in) but the case manager at my surgeon told me that would not be an issue. I know Aetna says " net loss" but I was still worried so that was good to hear. They know Aetna so well thankfully. Now I have to wait to get released by my Orthropedics surgeon before the Bariatric surgeon will move forward.
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Hesitation at the end....oh my.
Thanks ..I finally made the calls yesterday to get the last few things taken care of.
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Hesitation at the end....oh my.
I finally finished 7 months of requirements but just can't get motivated to send in paperwork the office needs. Reasons.....not sure of priority: 1. Just had hip replacement last month and I really just find the idea of another surgery utterly exhausting. ( still on crutches and limited.) 2. Mother in law came to stay with us in July after a fall. She is waiting on an apartment to come open and I thought she would be gone by now. She is a prejudice, self righteous, religious zealot, who knows everything and does everything perfect. No way do I want her to know anything about the surgery. ( I am already hearing how so and so healed quicker from the hip surgery than i have.) 3. Nervousness about negative consequences of the surgery. This is actually minimal but it is there. 4. Last weigh ins were right before and 3 weeks after surgery and I gained 4 pounds although overall I lost 18. Worried about insurance denying me even though my doc was going to explain about me being immobile, swollen etc. Just typing this I realize # 2 bothers me the worse. Anyone capable of giving me a big swift kick in the butt!
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Psych appointment
No test. He primarily focused on my coping tools, feelings about changing life and strengths.
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Aetna insurance approval steps?
You need to call Aetna directly. There is some variation within Aetna policies but non of that was close to what I had to do. I did not even need a referral from my PCP to see my surgeon. I did need to see my PCP monthly for weigh ins and " weight management consults". There are other requirements as well but like I said it may vary so consult your provider.
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Newbie Here ????
Contact your insurance company and ask them to email/mail you the specific requirements for bariactric surgery. They have written guidelines. I was able to find mine online but this may not be the case for all insurances.
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How My Family Eats Dinner
Have you talked to your family? If you haven't then do do in no demanding nonaggresdive manner. If they aren't willing to change take a deep breath and remind yourself that you are in control of you. And although their support would be great you are the one that has to take responsibility to change..not them. You could eat in another room, sit with your back to the TV, wear ear plugs...there are several options.
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Afraid to Ask Doctor About WLS...
Your doctor is working FOR you not the other way around. You have to tell yourself you are worthy and able to be your best advocate. Do your research before you go. Be firm/ assertive. I went to bariactric surgeons orientation before my PCP. This was free and did require a referral. I was already sure I wanted the surgery and simply needed my PCP to do their job and provide my monthly weigh ins and complete required paperwork. I simply told them I was pursuing bariactric surgery. My PCP has been very supportive. If she had not been I would have switched doctors.
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I was denied!
This has been interesting and confusing to read. I know Aetna as different types of policies but I thought all their plans called for a net loss. I made the mistake of losing 10 pounds before my first PCP visit. I have had 5 weigh ins since with all being small losses..which is what I wanted. Unfortunately I am having hip replacement surgery next month before final weigh in. It is highly doubtful I will have any loss due to enormous swelling as well as weight of metal implant. My pcp assured me this could be justified for insurance compliance" . Due to the surgery my initial date will be set back for at least two months so I will end up with a total of 9 weigh ins. Crossing my fingers
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Isn't it Ironic
Sorry for giggling a bit but that simply sounds like something that would happen to me.
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December 9th, that's my surgery date!
Congrats on getting your date . I was hoping to have aDecember date but instead I am having hip replaced on dec. 3rd. I hope to get RNY mid to late January now. Not sure how long a wait between I ill need but I would not want to have less than 6 weeks.
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Finding Strength in the Middle of the Ohio River
Super cool! Congratulations!
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Aetna requirement
That is my understanding as well.
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And now there is one!
Woohoo December people! Although I just got recommended for a full hip replacement so that will likely push me back but hopefully not too long. I would love to have the RNY first but can barely walk now.
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YOU MAY NOT NEED THE GASTRIC BYPASS SURGERY! PLEASE READ!
Exactly. Mine went undiagnosed for probably 2 years. I had terrible joint pain that made my hands nearly useless and knees horrible. Started on medication ( no side affects) and slowly the joint pain improved but no impact on weight.
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Waiting... To go in for weight loss surgery operation
Hope you both did well.
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Sushi...
This is what I am concerned about. I love Sushi and I have a son who makes it often and brings me a plate. My top 5 favorite foods and one of the foods I hope I can still enjoy on occasion. At the very least I hope I can tolerate some fresh raw Fish with soy sauce.
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Goal!
Fantastic! Kudos to you for your hard work!
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Very Excited!
My insurance requires 6 complete months of overview by my doc so that will actually require 7 weigh ins. Then insurance submittal and approval..then surgery scheduling. I will be happy IF I get early January...but that really is the perfect time for me.
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Very Excited!
I am one week behind you. Monday is my third weigh in. It really has gone by quick. I am guessing is probably won't have surgery until January though. It is exciting.
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Sugar!
I too am spending my 6-7 month wait gradually introducing changes in my eating. This my third month, I have decided to go sweetless on coffee. I hate artificial flavoring as well as stevia. I am only on day three and it is hard. Coffee with natural sugar or flavoring so has been my evening dessert for a while. I know I will adapt but I really think this will be one of the hardest changes for me.
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Ugh my Mother!
I feel ya even though my mother is deceased. My mother in law who is in her 90's is staying with us temporarily while she recovers from an ankle injury. I hope to God she is gone before my surgery. I already have a really small tongue from biting it off over her constant criticism and her belief in her own perfection. If she is here it will be difficult to hide the surgery from her and I am fearful I will tape her to the celing fan after the first negative comment.