So after getting denied by Aetna for a "net gain" during my husband heart attack and triple heart bypass, I appealed....and was denied again.

I don't even know where to pick up and start now.

I sent in all of his discharge paperwork so they knew I wasn't just making excuses. And I'm not. I know I messed up. I know I gained. I know how to now fix this. But I'm lost on moving on to my second appeal.

I'm depressed, severely.

I'm miserable.

My husband is ready to kill me I think. I'm crying all the time and I just wanted this for myself so bad.

I know I have to get over my "pity party" and start fighting but honestly I feel lost, alone and just really down. Almost like I don't have fight left in me.

Help.

<p>Thinking of you Katie. Hope they can get you approved and quickly. I know how much you want this. I am still waiting for my approval. Hoping to hear today or tomorrow.</p>

Thank you so much. I want this more than anything. I really feel my whole life has stopped because of this. I'm so stressed and just not myself lately. Trying to break out of the funk.

Please keep me posted on ur approval!!

Sending prayers and good thoughts to you!!

I admire determination!! Best of luck!!

@@rustypickerd Can you describe the steps you took to get approved.

Exercise regimen (unless contraindicated) to improve pulmonary reserve prior to surgery, supervised by exercise therapist or other qualified professional;

Was the above a requirement for your insurance if so how did you meet it?

I did monthly weigh ins with my pcp. Nutrition consult. Psych eval...sleep study, blood work, chest X-ray and esophogram.. When I saw the cardiologist my insurance said no to the stress test and echocardiogram he wanted done...I called the surgeons office 2 days later after doing my monthly weigh in with my doctor...I told her about the insurance denying my testing and that I was stopping by to drop off the paper from my weigh in...I asked her to submit the paperwork to just see what the insurance company would come back with...5 days later they said yes. Everyone was shocked! Even the surgeon's office...one more thing that I had her send to the insurance company was a personalized letter giving all the information about my weight issues, family history, etc. asking them to please approve me

KSTUZ....any news yet on your appeal?

Hi Jess

I actually emailed Kelley today and she said she is still waiting on my surgeons office to send them my chart. Sooooo, I'm not really happy about that since it's been a week since they got the money, I called the office earlier and left a message about it.

This waiting is for the birds.

How are you doing??

I'm good! I'm just going through the steps to get approved for my surgery. I'm really hoping and praying that you get your appeal approved.

Thank u so much

I've gotten so much support thru here. I will keep u posted! U do the same!

Hi Katie, I did get my approval, so my surgery is on for the 23rd. I certainly hope you get things worked out on your end. I have been thinking about you.

Thank u so much and CONGRATS!!

You must be thrilled! Did u set a date yet?? Make sure u keep me posted on EVERYTHING. I can't wait to keep in touch throughout ur journey.

:) :)

I'm still fighting for it! But thanks so much for thinking of me, I am hanging in there. Trying to stay positive. I will update u wen I hear anything at all!!

Katie

Katie-

Have they given you any positive feedback even though now real result yet? Something to let you know that they are pushing for you? I can't wait (as I sure all of us feel this way) for your APPROVAL. I have faith that it's on it's way!!

Hearts, Hugs, and Prayers,

Darla

Katie-

Have they given you any positive feedback even though now real result yet? Something to let you know that they are pushing for you? I can't wait (as I sure all of us feel this way) for your APPROVAL. I have faith that it's on it's way!!

Hearts, Hugs, and Prayers,

Darla

Hey darla!!

So my second level appeal was submitted on Thursday sept 18th.

Lindstrom killed my appeal. It's soooo good.

So hopefully I will have good news to report soon!!

Thanks for thinking of me

I can't wait for you to get your good news! Let us know right away!

Definitely!! Will do!!

U do the same!

Keep me updated!

My fingers are crossed for you! I'm using Lindstrom after all, as my 2nd attempt was denied. Can't wait to hear about your positive outcome!