Hello all I am Tayna. I am a 26 year old mother of 2. I stand 5'3 and weigh in at 237 right now. My BMI is at 42 1/2 is what the nurse told me yesterday. I started my journey back in June for a 3 month weigh in. Only to find out at the end of the 3 months I was suppose to be seeing an exercise therapist as well as a dietician for the 3 months charting if I was doing it that way. Knowing that I would have to start over if I wanted to do the 3 months I went ahead and decided to do the 6 months of consecutive charting. I have 2 months left and I am feeling more more stressed over the whole thing. My biggest fear is being denied for the surgery through insurance. I don't have the money to pay for surgery out of pocket, and insurance covers at 80% leaving hubby and I paying the other 20% which is more in a price range we can afford. I have done my pych evaluation and just had my meeting with the dietician yesterday. The only thing I have left is these last 2 months. Out of experience did you have problems with your insurance approving for surgery, or did it go pretty quickly?? :thumbup::confused::confused:

I was told the surgeon can just request when you are there for longer. That is what we will do....they had an opening on the 9th of Nov! AAAHHH!

I was told the surgeon can just request when you are there for longer. That is what we will do....they had an opening on the 9th of Nov! AAAHHH!

Congrats!!! Congrats!!! So excited for you

i was approved by aetna for a couple of nights. going in dec 29th

I was approved (I just found out! I had to call...was approved last thursday!) Anyway, they only approved it for outpatient?? Anyone else? :huh:

Sorry all I have not been on in a bit.. I am going for last weigh in tomorrow!! YAY!!!!!!!!! Really looking forward to getting this one out of the way.. I was diagnosed with Sleep Apnea which I was told is a co-morbidity which should help insure there approval. I do hope so.. My insurance plan is POP through Aetna and they cover 2 nights with the sleeve or bi-pass.. Wish me luck all hopeing to have surgery the first part of December would LOVE to be able to enjoy some soft mushy food for Christmas..

I also have Aetna insurance. They had requested records from 2008 for a recorded weight and a one on one with a nutritionist. This was turned all into medical review on Tuesday afternoon. I had a call from the surgeon's office on Wednesday at 2 pm that I was approved-24 hours. Surgery is set for December 1st. My recorded weight from my appt was 232 and my BMI is 37.5. I am diabetic and have a mild case of sleep apnea. I was actually surprised how quickly I was approved.

Congrats on the last weigh in! My paperwork was submitted Monday and I'm in the wait now... I will call Aetna today just to be sure they have everything. I am still crossing fingers my surgery is Dec 8th!!

Sorry all I have not been on in a bit.. I am going for last weigh in tomorrow!! YAY!!!!!!!!! Really looking forward to getting this one out of the way.. I was diagnosed with sleep Apnea which I was told is a co-morbidity which should help insure there approval. I do hope so.. My insurance plan is POP through Aetna and they cover 2 nights with the sleeve or bi-pass.. Wish me luck all hopeing to have surgery the first part of December would LOVE to be able to enjoy some soft mushy food for Christmas..

I'M APPROVED!!! After 2 denials from Aetna, I finally got approved. I guess they had to work out with my surgeon's office which paperwork they were missing or when it was sent or whatever. Who cares?? I'm approved.

BUT...unfortunately because of some personal family issues, I can no longer do the 12/20 date I previously hoped for (and the surgeon's office graciously reserved for me). I will have to wait until Feb 2011.

BUT...I'm not mad at all. I am still losing on my self imposed pre-op diet and I have started working out 4x a week. So I am going to make sure that this time between now and Feb will be as productive as possible for my weight loss goals.

I'm just so happy I got approved I wanted to share it with you all!!!

I have Aetna and I've been reading a mix of requirements from people on three different forums. So I'm sure it all varies. I have also noticed that depending on who your surgeon is, he/she has a slew of requirements as well.

I have a surgeon whom requires more than what insurance requires. I am doing the three month supervision though. In the end, I'd rather have my surgeon require a lot more in order to make sure i get approved and so that she feels i am healthy enough and in the right mind set to have surgery.

my surgeon requires:

-1 meeting with nutritionist before surgery, 2 meetings after surgery

-10 cardiac exercise sessions (requires 2 before surgery, the rest is divided up however patient sees fit)

-requires some weight loss (did not mention how much)

-requires sleep study, EKG, endoscopy, chest xray, abdominal ultrasound, mental health evaluation

-1 Meal Replacement supplement