Everything posted by 1excited
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H Pilori
Did it delay your surgery Sent from my SM-G530T using the BariatricPal App
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Almost time to submit to Aetna
My NUT documented what I told her I was doing but I also had to turn in proof that I was actually doing it. My surgeon's office sends everyone to the cardiac clinic but I felt out of place sp I did it through my gym (made it more fun). I got my Aetna approval on Friday and i am super excited. Try not to let it stress you....I HATE the scale!!! Sent from my SM-G530T using the BariatricPal App
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Almost time to submit to Aetna
Your plan should mention something about weight gain. My plan required an exercise program with documentation. Sent from my SM-G530T using the BariatricPal App
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Insurance approval in 24hours!
Have you tried to appeal? Sent from my SM-G530T using the BariatricPal App Have you tried to appeal? Sent from my SM-G530T using the BariatricPal App Have you tried to appeal? Sent from my SM-G530T using the BariatricPal App Have you tried to appeal? Sent from my SM-G530T using the BariatricPal App
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Out of pocket cost after insurance pays
My insurance covers everything 100% it even covers all of my NUT visits. Sent from my SM-G530T using the BariatricPal App
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H Pilori
Did anyone get diagnosed with H Pilori when they had their EGD, and if so how long did it take to treat and go away? Sent from my SM-G530T using the BariatricPal App
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Time off for stay at home Mom
Hi 1excited,Where are you in the process? My paperwork was submitted on Feb. 11 so I should hear any day now. Wow, two little ones and your father, sounds like you are surrounded with blessings and responsibilities. I cared for my parents when my son was little, so I know. Good luck with everything, @@uberbuffaloegal as you know little ones plus caring for someone is a challenge but as you said it is both a blessing and responsibility. My paperwork was submitted February 19 BUT the insurance coordinator did not send in any of my clinical notes. The insurance company contacted her and she still did not send it in. I called my insurance company a week later and they explained what was going on. I called her and she lied and said they refused to give her the fax number. I called and they were like that is not true and here is the fax number. She also said she called them twuce , which also was not true. So my paperwork just sat for a week because she sucks. I called today and it is being reviewed. I have aetna. Who is your provider?Hi 1excited,I have BCBSTX, I was denied by Aetna in 2013, my gp had my height wrong by 4 inches, so it showed that my bmi was under 40 in the last 2 years. The lady that handled the appeals at my dr. Office was in a terrible car accident and my appeal was not timely or correct. I can't be mad, poor dear, and the lady trying to do it had no clue. I have severe sleep apnea. But don't worry I know lots who had no Trouble with Aetna. So now 2 years on I have BCBSTX and I am trying again, still no word as of today. Any word on ur end? Did they send the notes? I am in Socal, OC, where r u? Goodluck Sent from my SM-G900T using the BariatricPal App @@uberbuffaloegal you will not believe this BUT they did it AGAIN. This time they only sent in 60 days instead of 90 days and once again totally blew it off when the insurance called!! The surgeon got them to send it in so I am still waiting Have you heard anything back yet? Sent from my SM-G530T using the BariatricPal App
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Any Hispanic Sleevers here? Help me
Hey!! I am Nicaraguan!!!!! My husband loves our food and so do my children.
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Time off for stay at home Mom
Hi 1excited,Where are you in the process? My paperwork was submitted on Feb. 11 so I should hear any day now. Wow, two little ones and your father, sounds like you are surrounded with blessings and responsibilities. I cared for my parents when my son was little, so I know. Good luck with everything, @@uberbuffaloegal as you know little ones plus caring for someone is a challenge but as you said it is both a blessing and responsibility. My paperwork was submitted February 19 BUT the insurance coordinator did not send in any of my clinical notes. The insurance company contacted her and she still did not send it in. I called my insurance company a week later and they explained what was going on. I called her and she lied and said they refused to give her the fax number. I called and they were like that is not true and here is the fax number. She also said she called them twuce , which also was not true. So my paperwork just sat for a week because she sucks. I called today and it is being reviewed. I have aetna. Who is your provider?
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Time off for stay at home Mom
I am also a stay at home mom with two kids (1 and 2) I also care for my father who lives with us. My husband plans on taking a week off.
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Aetna- 3 month process
I considered changing 2 months in. I called the new surgeon's office and they told me all they would need is all the notes from the current doctor I am seeing. It would have been fairly easy. I think the only thing Aetna looks for is 3 consecutive months.
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Aetna- 3 month process
@@tbella67 can you find another surgeon?
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Aetna Denial
did you Aetna overturn your denial?
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Aetna Insurance & getting sleeved in St Louis Mo
My doctor said no because it is about accountability. My gym had to give me logs that prove I was there and I did the free training sessions. I could have used the program that works with the hospital, but their hours of operation really did not work with my schedule. Talk to your surgeon and insurance company. Good luck.
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Aetna in NYC
How long did you end up waiting
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Aetna Insurance & getting sleeved in St Louis Mo
I have aetna and I was required to participate in an exercise program. They submitted the exercise records with my packet. In fact my doctor's refused to submit without it because they said it explicitly says exercise program
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Aetna- 3 month process
found out the insurance coordinator in the office did not send in the clinic notes and when the insurance company reached out she STILL did not send it. So my paperwork just sat there for a week!!! I possibly could have had an answer by now.
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Where is everyone from?
Frederick Maryland
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Where is everyone from?
@@gettinmylifeback I was super suprised to see Moncks Corner....that is my hometown!!! HHHHEEEYYY!!
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Where is everyone from?
@@Dara0420 I am in Frederick. I actually left Gaithersburg about 2 years ago.
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Sleeve Buddy in Maryland
hey!! My paperwork was just submitted; however, the insurance coordinator is a total slacker and it did not actually get into the nurse's hands for actual review until I got involved yesterday. I was supposed to get sleeved in September 2014 however prior to submittal I found out I was pregnant. How Las things been post-op?
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Sleeve Buddy in Maryland
if we did not move to Frederick I would have definitely went back to that office
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Sleeve Buddy in Maryland
@@2bsleeved26 my paperwork has been submitted and I am awaiting approval. My surgeon is Dr. Osbourne, but I started the process in 2014 with Dr. Cooke (her office is next to Shady Grove Hospital) but 3 months in I found out I was pregnant. Who did you go with?
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Length of stay in hospital approval letter -
I checked in early morning, had the sleeve around l0 a.m., slept, walked, had a leak test and was home by 4 p.m. No problems, no pain, just thankful not to be in the hospital catching staphylococcus or MRSA. WOW that was fast. I was told no way will I be coming home same day. What hospital did you have your surgery?A big hospital in Jacksonville, FL. If there are complications of course you have to stay. We were told ahead of time, in the hospital and out the same day. I was in the grocery store two days later, reading labels on food.WOW!!! You are a trooper!!!! That is the type of recovery I want!!!!!! I am at the wrong hospital..lol. We're you able to eat actual food two days later?
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Aetna- 3 month process
$)@@ychani I have aetna as well (I am waiting to hear back). Did you hear back yet, how long did it finally take?Yep I did hear from them (on Feb 9th), on the 13 out of 14 they were to respond back. And I was schedule for the 18th of feb for surg. I was hoping it would be sooner. Tuesday would be day 7. I am going to call on Tuesday with my fingers and toes crossed