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3 month Program with Nutritionist

Although I do al lot of forum stalking I've never actually posted but had a question regarding the 3 month program I am required to do by my insurance company (Aetna). So far I have yet to lose and weight and I am in my last month; in fact I've actually gained 5 pounds. I have been having trouble with water retention in my legs and ankles. Although my nutritionist has put me on a lower salt diet I am still not getting rid of the water retention in my legs. I started the program weighing 385 and I currently weigh 390. Will this in any way affect me getting approved for the surgery?

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It might. It depends on your insurance company and also possibly your surgeon's office. One of the requirements for me getting approved for surgery is that I had to lose 10% of the amount I was overweight. When I started the medically supervised weight loss, I was at 366. At that time, they said I was 220 lbs. overweight, so I had to lose 22 lbs. They would not submit for approval until I lost the weight.

That said, every doctor's office is different, and so are insurance companies. Have you contacted Aetna to find out what their requirements are?

I also have aetna & I wasnt required to loose weight. My weight went up 1 lb.

Hi. I have Cigna. I have competed the NUT visits and went down 5 in four months. Not for lack of trying. I have maintain the same weight for the past 2.5 months. Again still working on trying to lose. I was approved for my surgery. Date is July 1st. Check with your doctors office, they should be able to advise you. Wishing you the best.

I had actually gained 20 while on the three month. Still had the surgery, but your mileage may vary.

  • Author

It might. It depends on your insurance company and also possibly your surgeon's office. One of the requirements for me getting approved for surgery is that I had to lose 10% of the amount I was overweight. When I started the medically supervised weight loss, I was at 366. At that time, they said I was 220 lbs. overweight, so I had to lose 22 lbs. They would not submit for approval until I lost the weight.

That said, every doctor's office is different, and so are insurance companies. Have you contacted Aetna to find out what their requirements are?

Yes, I have contacted Aetna and they didn't mention that as part of the approval process. I was really determined myself to do this and lose a few pounds before surgery but it's not happening and it kind of has me discouraged like I'm doing something wrong.

  • Author

I also have aetna & I wasnt required to loose weight. My weight went up 1 lb.

When I contacted Aetna they never mentioned it but I wanted to be positive since it seems like so many people are required to lose weight before approval.

  • Author

Hi. I have Cigna. I have competed the NUT visits and went down 5 in four months. Not for lack of trying. I have maintain the same weight for the past 2.5 months. Again still working on trying to lose. I was approved for my surgery. Date is July 1st. Check with your doctors office, they should be able to advise you. Wishing you the best.

Thank You! My surgeon is also hoping for an early July date for me. Everything should be ready to submit by the middle of June.

  • Author

I had actually gained 20 while on the three month. Still had the surgery, but your mileage may vary.

True. Mileage does vary, I was just concerned that they would deny me if I hadn't lost any weight better yet gain weight.

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