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Aetna pos

beedo

By beedo, in Insurance & Financing

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mrlddst    0

mrlddst
Posted

They turned all of my info in on Friday and said it takes 7-10 days for a responce. Kinda nervous but ready for an answer!

Well?? How did it go?

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WingRider    1

WingRider
Posted

I got the call from Dr. Carter's office and Aetna shot down the sleeve for me anyway. They are still approving my lapband procedure but I do not want it. I am 6 days away from heading to Tijuana to see Dr. Almanza. I hope you get your sleeve procedure approved through Aetna. With my luck, as soon as I get it done in Mexico they will change their mind and it will be approved.

Bill

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beedo    0

beedo
Posted

Wingrider I am sorry to hear that. I turned everything in an they now want another month of supervised dieting, having a really hard time with it and have gained weight every time I have gone in to weigh. I have decided to go through all of this at the wrong time of the year for sure.

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WingRider    1

WingRider
Posted

Hey,

Don't feel sorry for me. I am happy with the way things are going for me. I have the money right now, I am happy with my choice in doctor, and will let the cards play out the way they are supposed to. I don't think your weight gain has anything to do with the time of year. I too have gained weight, and I think it is more psychological than anything. Every meal has been my last time to have this type of thing, you know. I was thinking these thoughts three months ago, LOL. I wish I could have had the surgery three months ago but travel plans wouldn't let me. My time is coming, and your's is too.

Bill

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beedo    0

beedo
Posted

Well I recieved a call from carters office and was told they were wrong about the sleeve, aetna believes it is dangerous and too new so they don't cover it. Sucks for me because I am not looking forward to getting the band, I mEan I will be content and do everything I can with it but really hoping for the sleeve. But like you said, it has to be a psycological thing withthe weight gain because I cannot diet nor get to the gym, every time I try i cannot stay on it and I too eat like it is my last meal. If you don't mind can you let me know the cash price for the surgery, you can send in pm if you like but I wonder because dr Carter charges 12,000 for th sleeve and I don't want to pay that much. Good luck and please keep us all informed on your surgery and be safe!

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WingRider    1

WingRider
Posted

Man I am sorry. I was wondering why you were getting a different story, because I have talked with at least 4 different people at Aetna and have all told me the same thing. They consider it experimental.

I am going to Dr. Alamnza in Tijuana. I am paying $5,000 for the procedure. There are several other doctors in Mexico that are between the 5k and 9k mark. I have read the good and the bad posts about Dr. Almanza so I am going into this aware of the wide range of experiences with this facility. My Dad is going with me, so the airfare added another grand, and I figure at least $500.00 spending money getting there and back, so less than $7,000. I will certainly put up a post about my experience as I am there and when I get back.

The 12K you got quoted is less than what local Dr's here in Austin want.

Bill

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Go To Topic Listing Insurance & Financing

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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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