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SIPS in Seattle

Duodenal Switch Patients
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Everything posted by SIPS in Seattle

  1. I have Aetna, I was denied on the initial and on the first appeal. Obesitylaw.com helped me with my appeals, and my second appeal was finally approved. My surgery is tomorrow! Good luck!
  2. I have Aetna, and was denied my first go round with them. I was approved after my 2nd appeal. The reason I was denied is that they said I wasn't at a 40 bmi, for 2 years nor was my sleep study sufficient enough. I'm being banded on Cinco de Mayo I have a coworker who was just approved (also Aetna) it took about a week for her approval. She's being banded on the 10th of May. Just make sure you have everything documented, and you have medical history going back at least two years. Good Luck!!
  3. Hey MarcyLoo, Can I ask who your insurance is through? Or why you were denied. I too was denied and had to go through the appeals process. I'm just curious as I'm going through NWWLS w/ Dr. Michaelson too. I have a coworker currently waiting for approval...so just curious. Today is also my day 1 of my 7 day liquid diet... i've had two 8oz shakes totalling 280 cal... looking ok so far to staying under my 870cal for today. Thanks for any info you can provide, my coworker is nervous although she's been over 40BMI for more than 2 years and has high BP. We have Aetna. Thanks, Zoebug
  4. Hey Kiki, I was told because I wasn't at 40 bmi for at least two years and didn't have any valid comorbidities. I did the sleep study but was considered mild apnea, not enough to qualify. My bmi hovered at like 39.5 or something silly like that. The folks at obesitylaw.com are totally awesome and helped with my appeals (had to do two appeals) and the best part is allergan footed that bill! I had my pre-op appointment today my 7 day liquid fest starts tomorrow. Cinco de Mayo can't come soon enough!!! Good luck Kiki and everyone else.
  5. My pre-op is on Wednesday the 27th no hospital for me, my surgeon does everything right in their office Www.nwwls.com Dr. Robert Michaelson
  6. It just totally depends on your insurance. I have Aetna, and my schedule went like this: final nutritionist: 1.19.11 insurance denied: 1.28.11 appeal through obesitylaw.com: 2.16.11 appeal denied: 3.10.11 2nd level appeal sent by obesitylaw.com: 3.11.11 2nd level appeal approved: 3.30.11 although I didn't know my 2nd level appeal was approved til the letter arrived on 4.9.11 Good Luck!
  7. Hooray! I wish good luck to all of us It's been a rough road so far, two denials... finally second appeal approved! Cinco de Mayo can't get here fast enough!

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