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Aetna Weight- Which Weight Is Used?

SkinnyWannaBe

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SkinnyWannaBe    6

SkinnyWannaBe
Posted

I have been approved by Aetna (h.m.o.), have gone through further testing (treadmill stress test/ cardiogram), and have a few more appts before surgery. I am right on the border of 35 bmi (w/ comorbidities) & my weight has been dropping due to a new state of mind & the heat. Which is the weight that aetna uses? The initial weigh in, or the day of surgery? Has anyone been denied on the day of surgery for not weighing enough?

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Chimera    644

Chimera
Posted

I am not sure about Aetna - but my insurance BCBS of Illinois used my starting weight and BMI.

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Neese    75

Neese
Posted

I went through Aetna and it was your starting weight. Good luck.

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doxieville    799

doxieville
Posted

I have Atena; it's your starting date. Day 1 when all this started. :-).

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Raven21    121

Raven21
Posted

It is the weight your bariatric center submits. I verified this repeatedly and they promised me the only weight they will submit is the one from the initial consult.

I don't think the insurance company specifies bc I have Aetna also.

How long did your approval take?

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SkinnyWannaBe    6

SkinnyWannaBe
Posted

Hi Raven21: After going through all of the classes- my approval took about 1.5 weeks. I was hanging on the edge of my seat wondering the whole time.

How long did yours take?

I am more nervous now with the rest of it- for every hoop that I jump through, there always seems to be many more- and it gives me anxiety- wondering if the dream is to all come crashing down at any moment, not to go through... but I am sure everyone on here feels that way!!

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Raven21    121

Raven21
Posted

I'm in the midst of it right now.

I'm required to do 90 days of a multi disciplinary program which includes 3 psych, 3 nutrition, 3 PCP visits, and an exercise consult.

I've had one of each so far.

I should be done and able to submit for approval on November 17th.

I'm hoping for a December surgery date!

Did you not have this same process?

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SkinnyWannaBe    6

SkinnyWannaBe
Posted

Mine was a bit different- I had a 6 month nutrition, and then I had to attend some classes and a psych eval before I could submit for an approval.

I hope you get your surgery date in dec! I hope to get one soon- as soon as I can get the scheduler to return my phone call :)

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Go To Topic Listing POST-Operation Weight Loss Surgery Q&A

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    • LeighaTR

      LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
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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.
      · 1 reply
      1. LeighaTR

        LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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.

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