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Aetna Sleevers - Share Your Approval And/or Denial Experiences Here!

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juny    93

juny
Posted

my doctors submitted their letter oct 20th, I got my approval by november 5th. They sent me and my wls center copies. they didn't call me I called them to verify they got it. You know they may take their sweet time getting to you but after the 6 month wait I was done being patient....of course I found out the earliest I could get was feb 5 surgery date anyway but still, if I'd waited til they called me I might not have been scheduled til march!

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ebonisekim    1,713

ebonisekim
Posted

my doctors submitted their letter oct 20th' date=' I got my approval by november 5th. They sent me and my wls center copies. they didn't call me I called them to verify they got it. You know they may take their sweet time getting to you but after the 6 month wait I was done being patient....of course I found out the earliest I could get was feb 5 surgery date anyway but still, if I'd waited til they called me I might not have been scheduled til march![/quote']

I kno rt when she submitted my paper my coordinator was like what 14 days nope I calked the next day and was approved the day after that I was already frustrated cause my last appt w them was dec 3 she didn't submitted to the 26 I had to stay on them

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Sekeyi27    3

Sekeyi27
Posted

Well congrats to all that been sleeved on this thread.....I'm still going through the supervised diet visits and I am on month #3 and have to complete 4months with Aetna. I'm trying to stay positive but I was already told that since I have a lower BMI (39.1) that Aetna may not approve it. I am still going through the process so that I know for sure.....I'm hoping 2013 will be my year of getting sleeved..... :)

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goldiva    26

goldiva
Posted

Well congrats to all that been sleeved on this thread.....I'm still going through the supervised diet visits and I am on month #3 and have to complete 4months with Aetna. I'm trying to stay positive but I was already told that since I have a lower BMI (39.1) that Aetna may not approve it. I am still going through the process so that I know for sure.....I'm hoping 2013 will be my year of getting sleeved..... :)

Don't get discouraged, my BMI was like 35 and I had no medical issues at all just being overweight and I told the doctors I needed to have surgery as a preventative measure. Everyone experience is difference, but one thing I would tell you is to look up Aetna policy for weightloss and you can call and speak with a rep and they will tell you EXACTLY the qualifications and you would see that you should be fine. My mind use to race with many different thoughts and possibilities, I got sleeved on 12/28/12 and doing great. Get with the coordinator for the surgeon and they have been doing this many ties and know what to submit for approval. I did not have to do any sleep studies, only psych eval, 6mos,2 year weight history and that was it.

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Sekeyi27    3

Sekeyi27
Posted

Thx goldiva and good luck with the weight loss...I'm going to stay positive and give Aetna a call. Keeping my fingers crossed I can post a thread saying iv

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Sekeyi27    3

Sekeyi27
Posted

Been approved.

becky2013 and ebonisekim reacted to this

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goldiva    26

goldiva
Posted

Been approved.

YES!!!!! Moving forward to getting sleeved. Everything should happen in no time at all now, you should be sleeved within 30 days give or take. I happy for you

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mwrarr    244

mwrarr
Posted

Still waiting... I was denied 11/26/12, appeals sent 1/11/13... :/

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Seanja    117

Seanja
Posted

Still waiting... I was denied 11/26/12' date=' appeals sent 1/11/13... :/[/quote']

What insurance do you have.

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mommy0206    1

mommy0206
Posted

Once you get the approval does anyone know how long it is good for? So if your approved in July but you are not having it until August?

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mwrarr    244

mwrarr
Posted

I have Aetna. Denied because my surgeon's office submitted with only 1 year of weight history.

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mwrarr    244

mwrarr
Posted

Once you get the approval does anyone know how long it is good for? So if your approved in July but you are not having it until August?

I'm not sure exactly how long it is with Aetna, because it's my understanding that plans can vary based on how they are negotiated. My plan is 6 months.

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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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