lonestar5212

Aetna faxed me the criteria that they want met, and I began the program just recently. However, I am not feeling very positive about it. They say they want the 3 month program, but it sounds like they make you do more, in reality. Then the health history part is going to be hard for me. I don't know if I can provide 5 consecutive years. I had some MAJOR issues with a couple of my kids for about 3 years, and my whole focus, my money, my time, my everything was on solving their problems and not on me. Sounds like that will sink my chances. :think

I have not had surgery yet, still meeting all my criteria for ins. co., but I am very nervous about how I will manage my diabetes and hypoglycemia during the pre-op and post-op dieting. Can anyone discuss this issue?

I am new to all this too, and am going the insurance "jump through hoops" routine, BUT if they say no, I will definitely be self-pay. It took me a long time (2 years since I first started thinking about this) to make this decision, but now that it is made, nothing will stop me.

:rolleyes:Attended a seminar and have had my first consultation. Ins. does cover BMI of 40 or 35-40 with one co-morbidity. I am BMI 41, and have diabetes, so I should be good to go. Have to have a psyc eval., see a nutritionist, and do 4 months of a supervised diet and exercise program, and supply health history. Once all of the above have been done, how long does the insurance co. take to make the approval decision? I have Aetna. I guess I am trying to figure out what month I might expect to have surgery. Also, the insurance company literature regarding this requirement for the 4 month supervised diet and exercise program states that they believe this will demonstrate patient's willingness to comply with post-op medical care and dietary restrictions. What kind of weight loss do you think they are looking for during that time? Is there a too little or too much number I should be thinking about? Thanks for all the help. Also, how do ya'll do those cute little tickers? BMI 41 Surgeon will be Dr. Marsden SW 242:o

I am at the very beginning of this process. I have met with a surgeon and I have attended a seminar. I have also been fortunate enough to find this site. It is so important to us newbies to have this information, so I thank all of you so much. My insurance company will pay for the procedure after I jump through a few hoops for three months. Not bad at all. My question I have is regarding my diabetes and hypoglycemia. I eat 45 carbs a meal to keep my blood sugar both down and up. If I don't, my blood sugar drops way down and I get pretty sick with the shakes etc. Is this going to be a problem for me to manage after surgery?