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Missnursette

LAP-BAND Patients
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Posts posted by Missnursette


  1. Well, Aetna's requirements to have WLS is that you have to have had a BMI over 35 for at least 2 yrs. My BMI in 2007 was 36, but I lost a little weight within the 2 yrs bringing my BMI to 34 off and on.. Now they are saying my BMI was not >35 consecutively for the 2 yrs, but what upsets me is you have to prove you tried to lose weight!!!! Well, I did, but gained it back every time!!!! So anyway, I have been denied twice and sent my last appeal last week. On July 1, our insurance changes to Anthem BC Calif. and I will have to start dealing with them. They do not have all of the requirements Aetna has, and should get approved a little easier, but then they don't cover VSG! They cover lapband and gastric bypass, which I really don't want. So, I am in the middle!!

    Thanks! I appreciate any advice!

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