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I was approved by Aetna



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I wanted to create this thread to help people understand what you need to do that have Aetna. I know every insurance policy is different, but with Aenta you generally do the same thing. I know when I started on my weight loss journey I was SO confused on EXACTLY what I needed. I was just approved this morning and I am beyond excited. This is what I did for the 90 day multi-disciplinary program - You need documents showing you have had a BMI of 40+ for the last two consecutive years (or a BMI 35+ with co-morbidities) I went to my PCP and asked for these records myself and faxed them to the surgeon's office. - You need to see a nutritionist once a month for three consecutive months (for example I saw my NUT once in November, once in December, and once in January.) You need to make sure your NUT faxes your information to your surgeon's office. - You need to do some sort of exercise regimen through a qualified professional. My friend is an exercise therapist and we did Water aerobics every Tuesday and she filled out paper work telling what I did. Again, you need to do this for three months! I'm sure you could either get a personal trainer, go to yoga classes, go to water aerobic classes, go to the gym at the hospital. Just make sure someone describes what you did and signs it. - You need to log your food for 90 days (that is for the behavorial modification portion of what they're wanting). Also my surgeon's office said Aetna likes to see that you attened some support groups for behavorial modification. I attended two support groups. - Also ask your surgeon's office if they have a pre-made template titled WLS MD Monitored program. You need to get that sheet of paper filled out at every doctor's appointment. It will have your current weight, blood pressure, and temperature. Then the doctor will just fill out what you talked about diet wise and behavior modification wise. I still have the template in my email address so if you want it please send me a message. My surgeon's office said this template wasn't absolutely necessary, it just makes Aetna approve you faster with a greater advantage of getting approved. My information was submitted to Aetna on a Thursday and I was approved by Tuesday. That is all I did for Aetna alone. Of course your surgeon's office will have you do many other little appointments and all that good stuff. Hope this helps some people out with any questions about Aetna!

I had atena and I didn't have to do all that some of it but not all

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Hi and congratulations on your approval. Can u send me the template. Carolcay1961@aol.com. Thank u.

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I would also like the template too please, if you have it. dannalcollins@gmail.com.

Thanks

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I got my Aetna approval today! I am super excited!

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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.
      · 0 replies
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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.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
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    • 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!!
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    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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