Trina47
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Posts posted by Trina47
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Sorry imagine
You would not among, the freaking back and forth is driving me crazy so today they said my surgon needs to do a peer to peer with Aetna on the phone explain why I need the surgery. . Well at the time I didn't tell my surgon that I have Pantai fasciitia in my foot and on FMLA on my job and lit duty and the reason I have it is that I'm obesity. So I'm going to give them this information and see what happensMy BMI was 42 when my surgeons office submitted my info to Aetna a few weeks ago. Got a call from the office stating I was denied for not having a high enough BMI and not having enough wrong with me. I only have high blood pressure and GERD ( I am thankful that is ALLLL I have wrong with me). Also stated that my blood pressure is "under control" with 2 medications so I don't fit the 3 medication scenario they wanted when you are under control.
GET THIS...... My BMI was apparently submitted as 39.7 through the surgeons office. They actually have it as 42 (I keep copies of everything so I have proof) as well as my physician's office where I did 3 consecutive months of multi disciplinary surgical prep (actually 4 months now). My NUT also submitted my info with all her weights she took which was over 40.
I called the surgeons office today to ask where Aetna got that BMI from and the lady said she didn't know. I had her look up my very first visit while I was on the phone with her and she said " Oh it is 42"!??? and apologized. This is the 2nd lady I have had working on my case since I stated this journey on July 1st. I am just at a loss. I pray this time they get the right info to approve me. I may have to put my big girl panties on and call Aetna myself. I think I am actually getting upset with the surgeons office. GRRRR
Sent from my SAMSUNG-SM-N910A using the BariatricPal App
Sent from my SAMSUNG-SM-N910A using the BariatricPal App
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You would not among, the freaking back and forth is driving me crazy so today they said my surgon needs to do a peer to peer with Aetna on the phone explain why I need the surgery. . Well at the time I didn't tell my surgon that I have Pantai fasciitia in my foot and on FMLA on my job and lit duty and the reason I have it is that I'm obesity. So I'm going to give them this information and see what happensMy BMI was 42 when my surgeons office submitted my info to Aetna a few weeks ago. Got a call from the office stating I was denied for not having a high enough BMI and not having enough wrong with me. I only have high blood pressure and GERD ( I am thankful that is ALLLL I have wrong with me). Also stated that my blood pressure is "under control" with 2 medications so I don't fit the 3 medication scenario they wanted when you are under control.
GET THIS...... My BMI was apparently submitted as 39.7 through the surgeons office. They actually have it as 42 (I keep copies of everything so I have proof) as well as my physician's office where I did 3 consecutive months of multi disciplinary surgical prep (actually 4 months now). My NUT also submitted my info with all her weights she took which was over 40.
I called the surgeons office today to ask where Aetna got that BMI from and the lady said she didn't know. I had her look up my very first visit while I was on the phone with her and she said " Oh it is 42"!??? and apologized. This is the 2nd lady I have had working on my case since I stated this journey on July 1st. I am just at a loss. I pray this time they get the right info to approve me. I may have to put my big girl panties on and call Aetna myself. I think I am actually getting upset with the surgeons office. GRRRR
Sent from my SAMSUNG-SM-N910A using the BariatricPal App
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That's what I thought, my caseworker is going to call them in the morning to see what's the problem235 weight 5' Bmi 41
Sent from my SAMSUNG-SM-N910A using the BariatricPal App
Sent from my SAMSUNG-SM-N910A using the BariatricPal App
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The day for surgery has arrived...
in PRE-Operation Weight Loss Surgery Q&A
Posted
Congratulations. ..... prayers for a speedy recovery with NO complataion
Sent from my SAMSUNG-SM-N910A using the BariatricPal App