GettingDHealthy

That is so frustrating! You went through all of the steps and didn't get to have it? I'm one month in to my pre-surgery program and I also have aetna PPO. I just looked and AETNA PPO says surgery is covered. you should push back!

I’m on Aetna PPO and got denied this week even though I meet all of the requirements for surgery. They said that bariatric surgery is not covered under this plan 😞

Hey all, I was just wondering if there was anyone here who has dealt with Aetna and been approved on an appeal? I just found out this week that Aetna denied my surgery because the plan my company has doesn’t cover bariatric surgery. I am appealing but was wondering if anyone has ever had success with an appeal through Aetna?

I was originally told that my surgery would be scheduled sometime at the end of June. Talked with the surgeons office this week for a check in and my surgeon has taken the month of June off to travel. I’m excited for him but a little bummed at the same time. This pushes my surgery back to mid/end of July. School starts mid August and I’m worried I won’t have enough healing time before I go back to work....trying not to stress out!

I got my approval today and my surgery date is June 3 and I am so excited. I wanted a May date but oh well at least I got an approval. I was sleeved in 2015 however it was unsuccessful. I am determined for this bypass to work. I wanted the bypass the first time but the surgeon suggested the sleeve. This is the last and final time can’t get another revision after this but I wouldn’t one another one.

Crossing fingers that I will have a June surgery! Had a check in with the surgeons office yesterday and I have one more PCP appointment before we submit to insurance but they are thinking end of June, early July. 🤞🏼🤞🏼🤞🏼

So I didnt see a June thread and wanted to make one so we could all stay accountable and have a lot of good and bad experiences together!!! Introducing myself: My name is Kassandra, I am 27 years young, I have 3 great kids (9 yr old & 5yr old little boys & a 2 year old little girl), a wonderful hubby, and 3 great cats. I'm a type 2 diabetic & have sleep apnea. I decided to do this to take my life back because I do NOT want my kids to lose me so young. I'm 5 ft 2 and 258 lbs. I was 293 last summer then I started to make small changes to get ready for surgery. I had planned for the sleeve but my insurance won't cover it right now so RNY it is!!!

Hi! Thanks for starting this!
I have a surgery date of June 3rd for RNY. I am 48, a mom to two great boys and have been married to my high school sweetheart for 28 years. I am an elementary education teacher and a special education specialist, though I have taken time off while the kids are/were in school.
I decided to do this because I have sleep apnea, high BP and my family is strongly diabetic. At 5'8 and 275 pounds it was time to get real, without some serious changes this was not going anywhere good.
Really looking forward to hearing from everyone as we move forward!

It went great!! Found out some super good news about my insurance and even got my psych appt done the same day! Hoping for a surgery date in May!!

My insurance is BCBS of California. I had to wait for approval before they would schedule the surgery.

I was nervous that I wouldn’t get approved. It took my insurance 3 weeks to approve it so on that time I just forgot about it. I just relaxed and told myself I did everything I needed too.

Deep breaths, you can do this!! My intake was about 4 hours long and there was 4 other people doing it with me. They did bloodwork and urine sample, my biometric screening, a urea breath test, and then we met the surgeon. He explained all of the different procedures to us all in a group and then met with us individually. I am relying heavily on my insurance coming through so we talked about that whole process and what we’d do if I got denied. They will do everything they can to help with whatever insurance needs. They gave me all of the referrals I need for my insurance, as well as detailed information on the procedures I was looking at having done, and then took a “before” picture and sent me on my merry way! This month will be my month 5 of the 6 month observed weight loss time that my insurance requires. Im excited and hopeful, trying to stay positive. I do have the nagging thoughts in the back of my mind of what I’ll do if I’m denied but I try to not think about it. I’ll cross that bridge when I get to it, but for now, I’m pushing forward like insurance said “go!”

I’m in!!
Starting weight: 357
Goal: 200
Surgery Type: Roux en Y
Am working on Preop, am coming up on month 5 of my 6 month monitoring!!

I’m in!!
Starting weight: 357
Goal: 200
Surgery Type: Roux en Y
Am working on Preop, am coming up on month 5 of my 6 month monitoring!!

I’m in!!
Starting weight: 357
Goal: 200
Surgery Type: Roux en Y
Am working on Preop, am coming up on month 5 of my 6 month monitoring!!