So I will tell you all the reasons I should have the band-

BMI of 55

Heart attack at age 32 I am 34 now

High BP

Depression

Pseudotumor Cerebri with severe papillo edema

Hx of Pulmonary embolisms

Pre Diabetic

Reason Aetna denied me today-

I gained 1.8 pounds since May!- they said they would have denied me with even an ounce gain. They implemented this new rule this month. I have been jumping through the Ins hoops for four months now.

I was suppose to get banded Sept 27 instead I have two more weigh ins

I am crushed.

Were you told of the change of requirements before your weigh in? If you were in street clothes and you weren't told, perhaps you can have a do-over and be weighed in a gown. If your insurance changed their requirments mid-stream, it seems to me you should have been informed of that.

A letter to your state's insurance commission might not be out of the question either.

Thank you! I have two more weigh ins then will be resubmitted for Ins. I was so happy and ready now I'm depressed and sad and I don't come on here as much, because seeing everyone so happy they got approved and a date. I am very happy everyone is moving forward just feel like I'm stuck and won't be moving on to a healthier me. I'm afraid even after I do the now required 6mo weigh ins they will find another reason to deny me.

Don't be depressed! (no, I am not telling you to pull yourself up, I know depression doesn't work that way) Fight them and win! Then be here to help others who need to fight! I was denied at first, so I got to know the appeals process very well back then. I used that experence here to help others with their appeals. Things have changed in the nearly 6 years since I went through it, but now you can use your knowledge to help others. It stinks that you are having to learn it, but use it to help others.

Were you told of the change of requirements before your weigh in? If you were in street clothes and you weren't told' date=' perhaps you can have a do-over and be weighed in a gown. If your insurance changed their requirments mid-stream, it seems to me you should have been informed of that.

A letter to your state's insurance commission might not be out of the question either.[/quote']

They changed their rules aug 13. My last weigh in was aug 19.

I had the same feeling before surgery, reading about all the happy people on the site. It was such a waiting game with the insurance and doctor's office anyway - none of this happens quickly for anyone! One thing I did while waiting was to sort of pretend that I'd already been banded. Like, what would I be doing differently now if I had my band? Eat smaller meals, get more protein, chew well, etc. Even though I didn't lose much doing this, it got me in the mindset and every pound I lost pre-band is just as good as the ones I've lost since surgery. I think we start to see actually "getting" the band as the day everything starts, when really, so much of this is a mental game that starts well before surgery. Just keep your chin up and keep doing the things that will put you on the road to your goal, then when you get the band it will be like icing on the (metaphorical) cake!

Finally!

It's official I get my band Nov 8!

Congrats!

Congrats on getting through with Aetna!

Thank you! True Results had to appeal on my behalf and they did that on Sept 24. I never heard anything so went for my second last weigh in on Oct 21 and when I got home and checked the mail there was the approval letter they sent on Oct 9. Why it took 12 days for me to receive it?!

I am just happy I did receive the letter and now I have the proof, and I want to frame that letter let me tell you!

I bugged the heck out of the front office people trying to get an official date set! I did it though! two weeks from tomorrow and I will be on "the other side!"

Sorry, that happened to you. Hopefully they'll approve you sooner then later. Hang in there and try and be optimistic.

Phone acting stupid. I just seen the ready of the post. Congrats!! Happy your approve.