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Young People : Did you get approved



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I had a question for those who are in their twenties - Was it hard to get approval because of your young age? :):confused::):confused::):confused:

If so - Did you have comorbidities? What insurance company did you go with, and was the process rocky or smooth sailing?

:clap2:

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I was approved & scheduled for surgery when I was 29 (birthday was in February).

I did not have comorbidities, but I did have a high BMI.

I had UHC. The process was smooth. I was still waiting for their first round of objections, but what came in the mail was notice of pre-approval.

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I just turned 27 when I got banded last August.

My BMI was over 40, I have a history of high blood pressure and I was almost 150lbs overweight (started at 297).

Best of luck to you! Just never give up!

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I was approved with a BMI of 39 with comorbidities. I had to fight Highmark BCBS for it but they paid 100%. ~Mandy

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I'm 27 and has a bmi of 34 do you think that I would be a good candidate for the surgery? I have been struggling with my weight all my life I need to shed 40-50lbs

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What would you consider comorbidities?

Also.. I am 24 years old and will be starting a new job. I have a choice of several insurance providers, Blue Cross, Aetna, PPO, etc.. Which one do you think will most likely qualify me? I have a BMI of 42. My only health issue is that I have PCOS.

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Mgood,

Don't choose Aetna!!!!

They make you jump thru too many hoops and will most likely say no!!!

I had a BMI of 49.7, comorbidities - HBP, DEpression, NECK,Back and HIp problems and they wouldn't approve me. (I had to end up self-paying $17,500)

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Thanks Ladysplenda - If you don't mind sharing, could you please tell me what her approval process was like. (i.e. how long did it take her to get approved?, was on an supervised diet for 6-12 months, etc?

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This is my first post, so forgive me if I'm ask something that has been asked a million times, but I was curious about the Aetna post? I have a group Aetna Plan ( POS II). I am supposed to meet with my surgeon for the first time April 4th. I have rheumatory arthritis, BMI of 40, about 110 lbs over weight. I expected to have to go through the normal psych. eval, diet etc...but why would Aetna have you wait 6 months?:eek:

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Yes we had a doctor talk to her about diet and she saw a nutritionist once every three months. We got turned down twice. Third time did it. Make sure you keep going back between turn downs. They want you to give up. DONT DO IT They need to make sure you are dedicated before putting out that much money. It took about three months.She has lost 17 lbs already.

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I have Aetna PPO - they gave me two thumbs down. It would take several YEARS before they would even consider covering this surgery so I paid for it myself. Good luck to you.

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Well, that stinks...they(insurance co's) are they great satan arn't they? Well, I just keep moving ahead, keep my chin up and continue to fight the good fight! I'll let you know how it all goes.

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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.
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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.
      · 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.

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