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Anyone have aetna insurance?



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I go in for a seminar on Feb 11 and will hear back from a counselor to set up an appt after that to meet with the dr. I have a friend I work with that had lap band done a few years ago and he said he had to meet with a nutrition and exercise specialist for like 3 months before he got approval. But I saw on here someone else with aetna got approval in like 3 days! Does it not work the same with every plan? I'm anxious to see what the dr says and how long it takes to get approval. If you have aetna, what has your experience been like?

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Aetna is my insurance provider. Just to give you heads up on how it work with Aetna. There are steps that you must

take before approval and the post that you saw about being approved after 3 days is referencing after you have met all the PRE requirements. I got approved after 8 days but I had steps to complete as required by Aetna. 1)seminar, 2)3 months with a nutritionist or 6 months supervised by my primary doctor 4) psychiatrist evaluation 4)blood test 5)gall bladder scan. Because I was deadset on having the surgery by the time I went to my seminar I already contacted Aetna just to make sure that I qualified.I did my initial consult with the surgeon I done with all the steps except the gall bladder scan. So my whole process from start to finish was about 90 days. Aetna is pretty quick with approving the surgery as long as everything is done. I forgot pay the deductible that was last, the hospital would dnot take the money until they date was scheduled.

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Ah, thank you. Wish it wasn't that long but if I don't want to spend $10,000+ I guess I'll wait! :)

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I too have Aetna, all plans are different. I had to have 6 mo nutritional plan, submit 2 yrs of weight history from PCP, psych eval, & EGD.

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The wait isn't too bad. I am with Aetna and did the same stuff. It goes very quickly and if you do all the work you feel better and lose some weight in the process.

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I have Aetna as well. My VSG was on 12-31-2012 it only took 3 days for approval once I had completed all of the requirements that Aetna has. Your surgeon will guide you in what you have to complete to get insurance approval it does take some time but all in all it took me right at 4 months to complete everything and get my approval.

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I too have Aetna' date=' all plans are different. I had to have 6 mo nutritional plan, submit 2 yrs of weight history from PCP, psych eval, & EGD.

[/quote']

I have aetna too. I did all the above except for the egd. Took about 1 month to get approved because I only had 1 yr of weight hx but I still was approved because I had several yrs prior to the 1 yr I skipped goin to the dr.

highest weight 224#<br />sx weight 212# (11/20/12)<br />current weight 180#(2/8)

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I know it's been a while since thread was started, but just in case..

I have Aetna. 3 months nutritional classes, 2 years weight history, 1 comorbidity. No psych, no gall bladder test. Will still have to do the EGD since it's required for surgery, but nothing else. I was approved in about a week.

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
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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.
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      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.

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        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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