GrungeGrownUp

Orlando health? I have aetna a d an trying to user Dr. Smith at Advent Health in Celebration. How did this work out for you? A friend used Orlando Health and she hated the office staff and told me not to use them if I didn't have to.

You Go Girl!

That is awesome! Congrats!

Why no Keto?

Not for bariatric. surgery, but I had a surgery about 8 years ago and was out for a month. When people asked, that I didnt want to tell, I gave outrageous stories like I had to be separated from my conjoined twin, or my goldfish had surgery so I had to take care of her. People got the picture real fast

Hi everyone. I had an appointment with my primary doctor today, and she agreed that bariatric surgery is something I should pursue, especially since insurance will cover almost all of it. She said that she wants me to talk to the doctor about the duodenal switch surgery, as she feels it would benefit me the most. The surgeon's office at my hospital said I have to either go to their seminar or watch their video and do their quizzes online before I can make an appointment. I finished those today and now they are supposed to call within 48 hours to schedule the appointment. I'm excited by nervous at the same time. Vicky

She recommended that I talk to the surgeon because my BMI is 43 and while I am prediabetic, my father has diabetes bad. Also, the 100 lbs is me being realistic. At my height, I should weigh between 110 to 140 lbs is what she said.

I checked on Aetna's siteand Advent Health Celebration is not an IOQ, but the surgeon is in network for me and listed under their in network bariatric surgeons. The only hospital that is on the list has one particular surgeon that 2 of my coworkers (very large employer) have been to and both have said while the surgeon is ok, the office staff is terrible. Both recommended I go elsewhere. My plan covers the whole Advent Health System.

So I have a way to go being as my first nutritional visit was today. Can anyone tell if I am reading this correctly? I have to do 3 nutritional visits? Multi-disciplinary surgical preparatory regimen: Proximate to the time of surgery (within 6 months prior to surgery), member must participate in organized multi-disciplinary surgical preparatory regimen of at least 3 months (90 days) duration meeting all of the following criteria, in order to improve surgical outcomes, reduce the potential for surgical complications, and establish the member’s ability to comply with post-operative medical care and dietary restrictions

I have Aetna and just got my referral from my Primary to the surgeon. I am hoping Aetna doesn't give me issues. My BMI is 43. I do have sleep apnea as a co-morbidity. At what point does the surgeon get the approval from Aetna?

I just checked and they cover Gastric Bypass, Gastric Sleeve, and Duodenal Switch.