Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

So I was denied because Aetna said I didn't do my 90 day supervised visit. I was off by 26 days. I was told in the beginning that I only had to do 3 visits, 30 days apart. One visit a Mo th. Did that abd it was denied. I have to do one more visit and do an appeal. Ugghh!! So frustrating because my coworker did the exact same thing and was approved. I'll just push it back a few weeks if this will get me approved.

Share this post


Link to post
Share on other sites

Insurance companies can be the worst part of any surgery. I'm sorry to hear that yours is making this more difficult. Stick with it and make that appeal! It will be worth it!

Good Luck!

Share this post


Link to post
Share on other sites

Insurance companies can be the worst part of any surgery. I'm sorry to hear that yours is making this more difficult. Stick with it and make that appeal! It will be worth it!

Good Luck!

Thanks so much!

Share this post


Link to post
Share on other sites

I simply cannot understand the rationale behind insurance companies denying weight loss surgery. The effects of morbid obesity are much worse on one's health. So, are insurance companies telling us they would rather pay for illnesses we get for morbid obesity? Someone enlighten me.

Share this post


Link to post
Share on other sites

@ Arlene G, no, they would rather you pay for it. Employers get kick-backs / subsidies from the federal govt for the portion of health care they pay to insurance companies on your (and all insured people) behalf. So, the cost to insure you is not bad, but what they charge you for health care is astronomical. The point is to make money and sick people make them money, healthy people do not.

Share this post


Link to post
Share on other sites

So I was denied because Aetna said I didn't do my 90 day supervised visit. I was off by 26 days. I was told in the beginning that I only had to do 3 visits, 30 days apart. One visit a Mo th. Did that abd it was denied. I have to do one more visit and do an appeal. Ugghh!! So frustrating because my coworker did the exact same thing and was approved. I'll just push it back a few weeks if this will get me approved.

I was denied today 2. I am going to appeal also. I don't even know what to say. I will just finish the process and see. Wishing the best for u also.

Share this post


Link to post
Share on other sites

I was denied today 2. I am going to appeal also. I don't even know what to say. I will just finish the process and see. Wishing the best for u also.

Same to you. I can only trust that this will work.

Share this post


Link to post
Share on other sites

My wife and I were denied yesterday because of a SNAFU with BCBS contract number???? Hopefully they can get it all straightend out before to long.

Share this post


Link to post
Share on other sites

Sorry about that Bigdog. Hope the best for u and your wife.. That it's a short turnaround.

Share this post


Link to post
Share on other sites

Best of luck on your appeal also. You'd think they would want us to be a healthy weight, save them money in the long run.

Share this post


Link to post
Share on other sites

Thanks Bigdog

These folks have their way of trying to discourage you out of it. Right now I'm just going thru the motions... I guess I was naive to think that those who could help. - that I am essentially paying to help - would be fighting against me!

Share this post


Link to post
Share on other sites

Update!!!! I got approved!! Thank God I didn't have to wait forever. The paperwork was sent in yesterday and my coordinator followed up and did a peer to per with the doctor. @0 minutes after her call, they called back with aproval number.

So excited to get this next step going.

Thanks for all of your prayers.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • eclarke

      Two years out. Lost 120 , regained 5 lbs. Recently has a bout of Norovirus, lost 7 pounds in two days. Now my stomach feels like it did right after my surgery. Sore, sensitive to even water.  Anyone out there have a similar experience?
      · 0 replies
      1. This update has no replies.
    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×