ahb08

Hello ladies and gents, I don't have a surgery date yet, but i was thinking about doing a detox cleanse, so that i could be a lil less full of toxins and other nasty stuff before i do have the surgery..I kinda wanted to do it before I even start my 2 week pre op diet...So if anyone has any advice on this I would appreciate it..and if you did do a detox....what type was it and where did u get it? Thanks for yall's time!

BETHL, if you're doing the 90 day....u need to actually go to 4 doc visits.....and the consult includes as one...., and from what i heard the visits have to be 30 days apart no more than 35 days..., but i was approved with a 60 day gap in my visits, but with that it prolonged this process b/c i had to do my 4th visit end of april..and now im just waiting on a date...if i wouldnt of skipped my jan 30th visit..i would of been finished march 30 with doc visits..and i probably would be having my surgery this month!!! Here is an example of the visting guidelines my case manger at the surgeons office gave me for aetna requirments....by the way, I only did 2 nutritionals..my case mgr said that lately aetna has been approving with only 2 nutrional visits....and if your doc doesnt require a psych eval..then u dont really have to do it, unless u have a history of psychiatric disorders or problems, per aetna obesity requirements..and im proof that's true, b/c i didnt do a psych eval. 12/31/08- Start Weight loss program with AIGB-Start (Your Initial Consultation counts as your 1st visit) 01/31/09- 2nd Weight loss visit with AIGB-30 days 1st Schedule an appointment with the Nutritionist 02/31/09-3rd Weight loss visit with AIGB-60 days 2nd Schedule an appointment with the Nutritionist 03/31/09-Last visit with AIGB for the Weight loss program-90 days 3rd Schedule your last appointment with the Nutritionist

OMG that is awesome danbar!!!!! i knew u would get approved!! that is soooooo great....lol its crazy how the good lord works huh!!! a house full of bandsters!!! lol

no they didnt send no type of precertification...all they did after my first visit was just verify that my insurance cover's it and how much they would cover....

ok well while ur waiting for ur insurance cards, go to aetna.com and on the main page there will be a search bar...type obesity surgery in there and the requirements for aetna will come....it will show u the two programs they require to have surgery approved....u will do one of the 2.

WOOOHOOOO im excited for you!!!!

lol good one danbar....surgery in the parking lot...i was cracking up when i read that one!!!!! and the person who started this blog is right about the insurance companies...i was recently approved for the band..but today...i went off on farmers auto insurance b/c i pay addtil for rental reimbursement..and the damn claims adjuster didnt want to pay for a rental up to my max of 900...well i got on the phone..yelled, and put the "a" word in there...(attorney) and he huffed..and said "jus fax me the bill ill take care of it"...i mean come on now..thats why i chose that optional coverage...b/c i knew that if i was to get in an accident i wouldnt have money sittin around for a damn car rental plus scrape up money for a down pmt on a new one....duh!!!! but with all this being said....u definitely dont hear anything about the insurance companies gettin a bailout from the government....they know how to hold on to their money!!! lol

aetna covers wls..u just need to verify if lockheed martin accepts to cover....if ur hubbys current insurance with lockheed covers WLS that means lockheed allows it...aetna as an insurance company pays for it, if the company they have a contract with allows it in their policy as a whole....lockheed is a big company and big companies usually cover WLS...

aren't u soo happy that stuff is over with.....(for the most part) b/c i am....i was on the 90 day thing with aetna but after its all said and done its takin me about 6 mnths anyways....but congrats to u on getting approved and jumping over the insurance hurdle!

well first off...congrats on being THE CHOSEN ONE...lol i would feel honored to be asked to be maid of honor...now i see u said that u now fit into a 20 dress...now if the wedding is in october and if u and the band are working together...especially with the exercising and all..i would say you should shoot for a size 18...maybe even a 16 to really push yourself..but i wouldnt get the size u currently are right now..b/c if ur doing things right...you should be down ATLEAST one dress size in 5 months...this is just my opinion....good luck with ur decision....!

hello, im also going through true results.......but who is ur insurance company?

i agree with gonna loose it....u will be fine..as long as u have the other months they will approve you...a complete idiot would have to deny your submission just because one year is missing. You still have evidence of 4 other years where most of them ran consecutive.....let us know the results!

Hello sstar and angie..im not from ohio...but i fly there often...columbus or cincy...my fiance is from chilli directly south of columbus....would like making some band friends out there...... not yet banded still waiting to schedule surgery...

I know...u were right.....and i will definitely tell u when i have my surgery date!

thats awesome girl!!!! im happy for the drop in dress sizes for u.....i know u wanted to scream at the store!!!!!

thanks for the wishes ladies....and i was just like you all...i soo knew i was going to be declined...but i really believe it has alot to do with the staff that are working for you...luckily the people i worked with knew how to handle my case and many other's b/c insurance paid procedures bring more money to them...so if i was the doc's office i would do whatever i could to get patients approved to make money for the doc office...Make sure before they submit it off they run everything by you on what they are about to fax over...tell the people who submit to call u with the reference and or auth# so that you call and blow up the insurance company on your own..etc...when ur people say they submitted wait like 3 hours after and call ur insurance company and verify they rcvd...ya know stay on top of stuff.. When i spke with the lady at aetna for my emloyer's group she made it seem like they dont even really go over my charts to see what i was eating and if i was practicing exercising...she made it seem like all they really look at was the consultation bmi, past two years bmi, and if u have tried to loose weight before...and a summarization from either ur pcp/nurse practitioner or surgeon, stating why or if u need bariatric surgery...my NP from the diagnostic center i went to knew how to word things and make her summaries very convincing...

Hi there huskergirl...ok i have read before on this website how other people who were approved with aetna, and there was no need for an exercise therapist/supervised watch.....and since i was approved without that, its true...basically here it was u need to do..and this goes for anyone with aetna....find a doctor's office and or a surgeon who has an office of their own who solely focuses on bariatric surgeries, b/c insurance companies like when u go to physicians offices who handle those, b/c usually they already have dietician's and nurse practitioners at their practive that could have the quals of a regular doctor who can be the one that notes how ur doing during the 3 or 6 month regimen and they are experienced on how to word everything on each of ur visits (documentation seems to be the key in these approvals)...the 6 month thing specifically says something about supervised exercising (but i have seen people get approved just with notations of the doc notating the patient is exercising), but the 3 month one is solely on preparing for the surgery (if u can find a place in ur area who is focused on bariatric care only then the 3 month plan would be acceptable b/c u went straight to the source, instead of going to ur regular pcp for the monthly visits and him just referring you to a surgeon later.)

By the sound of it ur insurance company put that "waiver" agreement, just so u couldnt even try to take them to court to have it appealed. Unfortunately your insurance's or employer's (whichever) legal people made sure that they covered their butts...when it comes to their policy holder's even having a chance on trying to appeal restricted health care procedures.....the only thing i could think of is to try to get insurance on your own, and or go out of the country to have the procedure done alot cheaper.....,

i know how u feeling i just got approved today...and i keep asking myself if this is for real?...and i keep looking at myself in the mirror telling myself i will not be the same 6 months from now....now that i got my approved call....im really preparing my mind for this...im gonna really start slightly getting a head start on my pre op diet...which does alow me to eat solids, and lean meats and fish....just extremely small amounts...so lets go ahead and get to it rmanns00!!

i was approved earlier today, and it was less than 24 for the approval...who is ur insurance with?

OMG yall, i can't believe how quickly i was approved....my case manager submitted on 5/12 at 2pm. and I received a call from Aetna directly at 1pm today that i was approved....!! I was told the approval went so quickly b/c my job...(2nd biggest bank in the U.S.) has reps at aetna that just handle my employer's portfolio of aetna accounts...so i guess working for a big company pays off even though the top CEO doesn't know u from left or right.....!!! The slight disappointing thing is that my surgeon is going to be out for 2 weeks, so i won't even be able to meet with him until 6/4/09 :crying:..meaning im probably not looking at surgery date until mid to end june!!! blahh!!! but im glad i no longer have to worry about being denied!! I gained 7lbs during 90day pre op, skipped one mnth, and made it up end of april, and didnt do a psych eval, b/c it isnt required by aetna nor my doctor, if i didnt have any previously psychiatric issues......

anything with terms saying ur have met the "precertified or pre notification" requirments means u are approved in health insurance lingo. U stated a rep at UHC confirmed that with u, so u are approved through them. UHC doesnt require all those monthly hoops like all the other insurances....they are the easiest if u were already at the bmi of 40 or more from the get go.

i was getting a little depressed to...im not yet banded...im still waiting on insurance approval...but i still want the band....just think about it like this...like someone said earlier the band will be with us longer than just 6 mnths and its our own little personal trainer.....after the show they will be in the same boat as us....which is SELF DISCIPLINE and WILL power. oh yeah...how do their bills get paid if they're on the show...?? or is the show throwing them like 5-6g's a month just for being on the show.....?? cuz if i had to miss out of work with no pay or my bills not gettin paid i wouldnt go on there anyway!!!

well from what im grasping in this post and a personal friend who has dealt with slippage...i basically need to immediately get an unfill anytime i feel like im getting sick or ill that promotes any kind of coughing, or heavy mucus like effects....b/c i know that when u have mucus and a lot of it tends to sit on top of the band and build up which causes the cough...so im gonna try to see if i become alert in time to forecast a sickness like food poisoning or the flu. Its lookin like the band not only needs to be deflated when pregnant to allow good nourishment for the baby but it needs to deflated during ill times to let our bodies fight off the illness allowing open passage ways to dispose or cough out mucus, etc.

if u go to my profile, and look under my statistics, and look at posts by ahb08 u should find a post i commented it has "phentermine" in the title...which is the generic of adipex.