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Approved for surgery, but not approved for hospital stay

Brina522

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Brina522    4

Brina522
Posted

Hi, I received a letter from Aetna approving me for surgery, but they did not approve any hospital stays. My Dr. is appealing this. Just wanted to know have anyone experience this, and what was the out come? Help looking for some answer...I so want this surgery :(

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DoingIt4Me!    2

DoingIt4Me!
Posted

Hi, I received a letter from Aetna approving me for surgery, but they did not approve any hospital stays. My Dr. is appealing this. Just wanted to know have anyone experience this, and what was the out come? Help looking for some answer...I so want this surgery :(

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Brina522    4

Brina522
Posted

I'm not sure, but when I called my Dr. office they said they have to appeal it...most post i read people are going home the same day. Maybe, my Dr. is different...

What do they consider a "stay"? It should be considered a "same day surgery" since you'll be there less than 24 hours.

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dits4golf    0

dits4golf
Posted

Hi, I received a letter from Aetna approving me for surgery, but they did not approve any hospital stays. My Dr. is appealing this. Just wanted to know have anyone experience this, and what was the out come? Help looking for some answer...I so want this surgery :(

I stayed over 1 night, but could have gone home that day.

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Rainydayz    3

Rainydayz
Posted

My doc says it will be done in the morning and I will go home that afternoon. Maybe your doc is super cautious. It's good he's appealing, so if he does feel like you need to stay overnight you won't be worried about the bill.

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dFaults    1

dFaults
Posted

I'm staying overnight but technically only 23hours so my stay will be sameday procedure. My surgery isn't until 1030am so I expect to be in my room by 1pm and have to be gone by noon the next day. Find out if you can do it this way. It eased my nerves knowing that I was going to have help the first 24hrs

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honk    780

honk
Posted

My insurance said the same thing but told me if there were complications I would be approved to stay over night. My doctor has people stay overnight but you are really there for 23 hours or less. We think of nights like a hotel no matter how long you were there you get charged for a whole day. Hospitals are apparently not like that.

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stateofzen    46

stateofzen
Posted

I had my surgery around 11 a.m. and was home by 9:00 p.m.

Even if you can't stay, you should still be able to get the surgery, unless it is your surgeon who is refusing. Talk to him/her and see why an overnight is essential-- it could be that you have complicating factors that I did not and I don't want to give you bad info.

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USMC Wife    1

USMC Wife
Posted

I had surgery at 8:00 am and was in my living room chair by 1:30. Initially I was told I would stay overnight but the surgeon said no the day of surgery. I was fine. At first I wanted to be in the hospital overnight, but once I was able to go home, I was so excited. It was nice being able to see my kids, watch my own tv and have my husband get whatever I needed instead of an overworked nurse who had more "sick" patients to take care of.

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dits4golf    0

dits4golf
Posted

Hi, I received a letter from Aetna approving me for surgery, but they did not approve any hospital stays. My Dr. is appealing this. Just wanted to know have anyone experience this, and what was the out come? Help looking for some answer...I so want this surgery :(

Medicare required that I stay overnight. Go figure.....

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CheckYes    46

CheckYes
Posted

My surgery was at 5pm and I was home by 9pm... if you can't stay, you will be okay.

My surgery was at 11:00 and I was home by 2:00. I totally agree - if you can't stay, you will be okay.

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ElizabethNYC    1

ElizabethNYC
Posted

I had to stay over night. I actually never got a room I was in recovery all night (was supposed to be in ICU because of my sleep apnea but there were no beds so I got stuck in recovery all night). I guess I was there about 24 hours and even though I could of gone home the day of surgery I was glad to be in the hospital. I hope your doctor can figure something out (I'm sure he will). Good luck and keep us posted.

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Acadia    20

Acadia
Posted

My surgery was at 0900 and I was home by 1300.

No hospital stay isn't a problem. Talk to your doctor about doing same day surgery.

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • Alisa_S

      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

      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

        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

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
    • KimBaxleyWilson

      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!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.

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