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Aetna NAP success with the 3 month plan



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hi im leslie, im pretty new to the concept of the lap band so forgive me if i ever ask a question that seems silly :) Im on Aetna NAP and during my meeting with my doctors insurance assistants, she mentioned that i could do the 3 month medically monitored diet as opposed to the 6 month version. Has any one had a hard time getting approved with the 3 month plan? i dont want to do anything wrong, so any advice would be great!

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Yes I have heard also that you can do a 3 month multidisciplinary diet.I had no problems with Aetna approval process.See my signature line.The case manage assigned to me was very helpful.She called to check on me preoperatively and postoperatively.I wish you the best with getting things approved.

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No problems here either. Just be prepared it still can possibly take almost 6 months to complete the process.

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I have Aetna NAP also and my 3 month paperwork was just submitted to insurance today! Hopefully I'll have an answer soon!

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Just thought I'd follow up.... my insurance was submitted yesterday and I got the approval this morning! :):):) I have Aetna NAP and did the 3 month diet program. Happy as a lark :) so excited!!

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Just thought I'd follow up.... my insurance was submitted yesterday and I got the approval this morning! :):):) I have Aetna NAP and did the 3 month diet program. Happy as a lark :) so excited!!

just curious your bmi.... I have a bmi of 35 - no other problems (ie- sleep apnea or diabites or high blood pressure) and i was denied...i havne't done the 3 months yet, but they are going to resubmit after the 3 month diet program. I was just curiuos if you also had a lower than the required 40 bmi.

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just curious your bmi.... I have a bmi of 35 - no other problems (ie- sleep apnea or diabites or high blood pressure) and i was denied...i havne't done the 3 months yet, but they are going to resubmit after the 3 month diet program. I was just curiuos if you also had a lower than the required 40 bmi.

I honestly can't remember what my bmi was when the submitted the info. I do know for sure that it was over 40. They also required the bmi to be over 40 for over 3 years or something like that (doc records). One of the years I did dip down below the requirement. I don't have any co-morbidties. Don't give up!

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Hi Leslie my name is Trina, and I have Aetna also, I'm so glad to know some one with Aetna. I've had the hardest time with this place TLC edge my claim hasnt even been subitted yet. I had to start my doctor and my nutrient visits all over again this has been an process since last November. So I started over because TLC stated my doctor visits had to be aligned with my nutrient visits. This place has been a roller coaster, I would like very much for you to share with me your process or the surgey center that you are using. Please I need feed back.

hi im leslie, im pretty new to the concept of the lap band so forgive me if i ever ask a question that seems silly :) Im on Aetna NAP and during my meeting with my doctors insurance assistants, she mentioned that i could do the 3 month medically monitored diet as opposed to the 6 month version. Has any one had a hard time getting approved with the 3 month plan? i dont want to do anything wrong, so any advice would be great!

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I have Aetna and haven't had any trouble at all. Matter of fact they were great. But my BMI was well over the 40 (and has been for 15+ years) and I had several comorbidities, which have cost them a bit of money recently :P

Good luck to you!! :)

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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