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



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Ladies i am proud to say.... IAM OFFICIALLY APPROVED! I called this morning just to get my case number and she said.. ohh. You have been authorized. No need to call anymore!

YEAH!!

Ladies i am proud to say.... IAM OFFICIALLY APPROVED! I called this morning just to get my case number and she said.. ohh. You have been authorized. No need to call anymore

CONGRATS! Sooooooooooooooooo happy for you!!!. Now check that off your list..lol, have you found about when your surgery date is?

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gold- I do not have a date yet. I just have the "dummy" date that Aetna gave me which is Jan 28th. If it is in January, I would be too ecstatic. My Birthday is Jan 3 so that is an awesome birthday present.

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I'm just glad you got that part out of the way, and now you can mentally

prepare yourself and get ready. Follow up with your doctor though and see

what date they have for you. It sounds like they have already notified

Aetna without letting you know anything, having you all nervous for nothing

smh.... but it DOESNT MATTER BECAUSE YOU HAVE A DATE!!!!! YEAH!!!!

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I finally got my approval & surgery date....January 22 is the big day! Excited, nervous, anxious, scared, ecstatic, embarrassed... I'm feeling every emotion possible all at once!! Wow, this is really gonna happen!

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I finally got my approval & surgery date....January 22 is the big day! Excited' date=' nervous, anxious, scared, ecstatic, embarrassed... I'm feeling every emotion possible all at once!! Wow, this is really gonna happen![/quote']

Lol congrats boo!!! Happy for you!

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Congratulations.........

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So... I finally heard & it's not great news. I was denied bc my coordinator jumped the gun & submitted with missing pieces of information. They obviously didn't read the bulletin from Aetna which specifically states that they req 2 consecutive years wts. They only had medical records from 2009, which means I've been lied to &/or given misleading information multiple times by Aetna & my surgeons coordinator & her assistant. Last wk I had to re-request my records for my dr office (from old dr), which makes me crazy bc why did no1 realize that only having 2009 records was odd?!?? I switched drs a year ago. Im uber frustrated.

So now, we wait for the records...& hope it's not too late for the appeal...bc I've lost my trust in my coordinator at this point.

Guess yet ANOTHER date is gonna pass that I am not being sleeved on...this makes 3. Maybe January? I'm not even daring to imagine anymore. It doesn't feel real anymore... Very sad.

++++++++++++++++++++++++++++++++ 347*294/284/135 (*347HW/294SSW) | (twitter) @Mwrarr | mwrarr.wordpress.com

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Wow trust me I know how u feel I was denied two times only to be approved later....so dont give up.

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Thank you :} I *really* needed to hear that... I've been so much mess internally over this that I didn't even tell my BF until last night. I figured I'd better let him in on it, considering 12/26 is 10 days away & I won't be having surgery after all (I assume...I don't think they'd still do it that quickly even if it was approved tomorrow) onward & upwards I suppose...

++++++++++++++++++++++++++++++++ 347*294/284/135 (*347HW/294SSW) | (twitter) @Mwrarr | mwrarr.wordpress.com

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Well officially DENIED. My two year weight history didn't work for Aetna. I knew 2010 wouldn't because the only time I went to the doctor was when I found out I wa pregnant and then there after all prenatal visits....

The office was just going to wait since we had a weight history for 2011 and 12 and resubmit the 1st of the year but Aetna told me that they won't take my weight for 2011 either cause the only one on file is 6wks postpartum. And when sick during those years I always opted for an urgent care cause it was usually a quick option and even though they weighed me, they never documented it!

Oh well! I'm ok with it, I am now a self pay and traveling for surgery and it will be much cheaper still then the out of pocket expense here.... Not to mention having to meet the 2013 deductible again if I stay here!

Good luck everyone with with your approvals. Date is set for February 18th! Hope to see you all on the losers bench!!!!!

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Don't be discouraged, things will work out

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Just wondering if anyone has been successful in getting Aetna to pay for WLS when there is a bariatric surgery exclusion in the insurance policy, put on there by the employer. I am under my hubby's insurance (Aetna PPO), which is completely awesome ($5 copay!), with the very big exception that his employer has excluded WLS from their insurance. My PCP wants to try and submit a letter to see what Aetna does (I've spoken with Aetna, they have said they will deny it, based on our insurance policy). I'm not sure I'm up for a humongous fight, only to have it denied.

Does anyone have experience with this?

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So I am almost done with my 90 day supervised weight loss visits. I have a BMI of 46 with high blood pressure and sleep apnea. Everything seems set for Aetna to approve me except for my 2yr weight history. The only thing I have is my health assessment that I'm required to take through my job and Aetna that shows my weight for the past 2 years. Is this acceptable?

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They should definitely accept a work health assessment weight without a problem, especially with comorbidities. Especially when they accept weight history from weightloss programs like weight watchers and Jenny Craig. You should be fine as long as you submit it all together. Otherwise the process will drag on. Good luck!

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So I am almost done with my 90 day supervised weight loss visits. I have a BMI of 46 with high blood pressure and sleep apnea. Everything seems set for Aetna to approve me except for my 2yr weight history. The only thing I have is my health assessment that I'm required to take through my job and Aetna that shows my weight for the past 2 years. Is this acceptable?

Aetna looks for documented weight that should be fine.

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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
      1. This update has no replies.
    • 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💪
      · 0 replies
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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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      1. This update has no replies.
    • bellaamey

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