I was denied!

[KSTUZ 438]

Thanks KSTUZ for keeping your fingers crossed for me. I have my fingers and toes crossed as well. I am so happy you got approved. My doctor was thinking of fighting but said that if they fought and still lost, then it was final. That they wouldn't ever approve me. I didn't want that. She submitted everything again on Monday, so we will see how everything goes. I am so anxious to find out something.

Keep me updated on any news!!

[tpinto 2]

I'm so sorry that happened to you. I am with Blue Cross and they approved me the first time we submitted. With that being said I really think it is all about the insurance company. Is there any way that if this doesn't go through you can switch insurance companies? Blue Cross doesn't even have a wait time anymore.

[michellew1 72]

I had BLUE Cross for 13 years and loved them very much, but they changed insurance at work, so I had to change to Aetna.

[notgonnafindit 22]

I also have Aetna. Mine should be submitted next week. Scary because I also had a 3 lb gain at one of my appointments. This is making me nervous.

[michellew1 72]

I also have Aetna. Mine should be submitted next week. Scary because I also had a 3 lb gain at one of my appointments. This is making me nervous.

Good luck. Let me know how it goes.

[notgonnafindit 22]

I will keep my fingers crossed for you. All the paperwork I hav read from Aetna says no net gain. This loop hole sure is sneaky of them.

[notgonnafindit 22]

Any word on your MichelleW1?

I saw my surgeon today and should be sent for approval today or tomorrow. Surgery is set for Nov 13th. I feel like this is my last big hoop to jump through. So nervous.

[michellew1 72]

I am still waiting for insurance. They did tell me that November 11 would be my expected surgery day if they approve. That means that I will have to hear something soon because I will have to start my liquid diet on the 27th. I am nervous too. Good luck and keep me updated. I'll keep my fingers crossed for you.

[KSTUZ 438]

I also have Aetna. Mine should be submitted next week. Scary because I also had a 3 lb gain at one of my appointments. This is making me nervous.

Hey! Was it a "net gain" or just a 3 pound gain? I'm going to send you a link, that Aetna cannot deny you for a gain because they are not doctors!!

Let me find the link and I'll post it.

Fingers are crossed. I also ha a net gain with Aetna and had Walter lindstrom fight my appeal for me. This is a blog from his website....standby!

[KSTUZ 438]

http://wlsappeals.com/2142/walters_bariatric_surgery_blog/gained-weight-pre-op-diet-now-what/

This was about me actually. Let me know if the link works!

[notgonnafindit 22]

Hey! Was it a "net gain" or just a 3 pound gain? I'm going to send you a link, that Aetna cannot deny you for a gain because they are not doctors!!

Let me find the link and I'll post it.

Fingers are crossed. I also ha a net gain with Aetna and had Walter lindstrom fight my appeal for me. This is a blog from his website....standby!

Thank you so much for sharing that link! It is reassuring. I had a net loss of 15 lbs. Two of my weigh in during the 90 day program I had gains. One of 1 lb. and one with 3 lb. It seems ridiculous to deny due to that but obviously it happens. There could be so many logical reasons for it. Water retention due to a menstrual cycle to name one.

[notgonnafindit 22]

MichelleW1 - So yours was submitted 10/14 right? What a tortuous wait:-(

[Lkk0158 39]

I see that some of you have your surgery scheduled before your Insurance is approved. How does the Dr. Know you will get approval. My Dr. Won't schedule my surgery till I get approved. My journey started back in August and it was fairly simply compared to most I have read. I am waiting on approval right now. Just wondering!

[notgonnafindit 22]

My surgeon just said we would move forward as though I was approved. I guess they'll just cancel or postpone if need be.

[KSTUZ 438]

I see that some of you have your surgery scheduled before your Insurance is approved. How does the Dr. Know you will get approval. My Dr. Won't schedule my surgery till I get approved. My journey started back in August and it was fairly simply compared to most I have read. I am waiting on approval right now. Just wondering!

Mine was the same as yours, no date until approval. My date is jan 5th 2015 and I started all of this jan 7th 2014! It's been a long time to get stuff done and the denials were killer. But I made it thru.

I'm confused myself to get a date before surgery is approved.

But! Hopefully it all works out!

I had to wait until jan for my work.

Holidays aren't the greatest time to be out for 4 weeks.