polly522

And if possible, call and MAKE sure you have everything you need. Once I met with my surgeon, I called Aetna to find out exactly what I needed and what was required. I know it says something about the 3 month, but with my plan, it was six months. And my surgeons office agreed. They had said that their approva rate was much better with the six month diet program than the three. And yes, sign in at every meeting and seminar you attend!

Yes, they probably will not take that from that long ago. I used my PCP with the six month diet. I also was required by Aetna to see a nutrionalist, have a phyc eval and go through several classes with the Surgeons office. I am just glad that it is all done and only have 3 weeks before my surgery.:thumbup:

First, you need to find out if you will be required to do the 3 month diet plan, or six month. I did the six month, and after all was submitted, I was approved in two weeks. Just so you know the tme line...Info Meeting was Jan/08 and restarted 6 month diet plan (Dr's nurse did not record all the previous weigh-ins) Finished June, Submitted in July, Surgery Date in August. So, it is not a real fast thing. Do you have your surgeon yet? And have you talked this over with your PCP? This is all so important. But the most is what Aetna requires for you and your plan.

I just did everything they required. I actually gained weight on the "diet" I went up 10 lbs. I would lose, then gain and so on. I have a surgery date of 8/18.

^ I am sorry to here that. My surgeons office requires it, not matter what, so that was already covered. I was just surprised that I did not have to jump through alot of hoops, but what I already did. I was ready for the appeal process. Now I just need my date. I will keep you in my prayers.

Yes my Nurse says that I have 6 months to have it done from today. She said I should get my approval letter on Monday of next week.

I know, I was on pins and needles, and reading through this website, everyday. They submitted on the 6/25...and I was approved today. So about two weeks. My Nurse was really nice, and this was the first time I actually got to speak with her. I had been calling since Monday. Now I just have to wait for my date, which is probably going to be the first week of August.

I just got approved today too....:thumbs_down:

OMG, I just got a call from my Nurse assigned to my case.....I have been approved. I am so excited!!!! Now I just have to wait for the date.:thumbs_down:

I feel the same! They will do EVERYTHING for diabetes, and pay, but when you really need the help, that might cure or resolve the issue, it becomes your fault you are this way. Even though millions of studies show that it can be hereditary...I was ADOPTED, so how in the world was I supposed to know!!!!!!

Yes, they were very willing to give me my nurses name, and her extension. I just wish she would call me back so I can make sure she has all the paperwork. They told me I was pending, for a surgery date of 8/4, but I know that is just what the Dr. Office says.

Gosh, I just do not know what to do.....I found out who my nurse was, and have called her like six times. She has not bothered to call me back. I wanted to make sure they have all the info....the staff there are all really nice, and the one today gave me alot of info (like it was pending, and estimated surgery date). But this is getting really frustrating. I just do not know what else to do...........:smile: My paperwork was submitted on 6/25, so it has been several weeks. It gets me kinda nervous that she will not call me back.

Mine is through Costco, so I am hopeing that this will be easy. And thanks for all your help! :embaressed_smile:

How do I find out who my nurse reviewer is?????

Okay, mine was just submitted today for review by Aetna, after I HAD to go through a 6 month diet. So whom do I have to bown nose to get this approved the first time?:tt1: