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approved after 2 denials!



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I'm IN!!

Heard from the Lindstroms today and Aetna approved me!!

Kelly and Walter Lindstrom were absolutely incredible. My second level appeal was nothing that I would have ever come up with!

So waiting for the surgeon to call me back, to get a date!!

Thank you to all who have helped and encouraged me the past few months after my denials. I think I would have lost hope if it wasn't for many of you.

I had a really tough year, and this is my light at the end of the tunnel.

I cannot wait!!! :)

Katie

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THAT'S AWESOME!!!! I'm SO happy for you! Keep your fingers crossed for me. Sending my paperwork to Walter & Kelley on Monday!!

CONGRATULATIONS!!! let us know your date!

Edited by peteyrulz

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The appeal was AMAZING that Walter wrote. Kelley was fantastic and I had a weigh in 2 weeks ago and Aetna was already reviewing my appeal, I faxed another weight loss to Kelley and she had it faxed to Aetna to make sure that was also reviewed.

She called and emailed today. The paperwork says October 3rd,

I had to email her. I'm sure they are super busy. So make sure u check in!!

I don't regret them helping me at all!

I would do it again and again. 100%

I was very skeptical at first, but she's always answered my emails right back within hours. (I'm in pa, they as u know are in Ca) so 3 hour time difference I had to keep telling myself!!

Thank You!!

You better keep me posted!!!

Fingers are crossed and I know they will get you approved too!!!

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Woo hoo! Yippie!!!!

You must be feeling freekin fantastic right now! So happy for you!

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I am THRILLED!!!!!

I'm still in shock, I can't believe I'm approved. I don't know if it has completely sunk in!! Haha!

Yay!

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That is great news! Glad it finally worked out for you!

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That's awesome, congratulations! I hope you find out your date very soon!

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I'm glad you persisted and wore Aetna down. :)

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So happy for you!

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Thank u so much!! It still hasn't sunk in- hopefully scheduling a date tomorrow!! Wooot! ????????

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Help can you show me some of your appeal letter.

I can show u the appeal letter that I sent that still resulted in a denial.

I cannot send u the lindstrom appeal unfortunately. I paid very good money for that appeal letter, I hope u understand. If u were denied please call Walter and Kelley Lindstrom.

They are incredible to work with. And they had mine overturned in just a few weeks.

What appeal are u working on?

What insurance do u have and where are u from??

That all makes a difference.

:)

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  • I'm happy for you. My Aetna Insurance states they don't cover bariatric surgery. :-( Even though I have all of the horrible things to go with being over weight. Mexico is calling me name...what can I do?

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  • I'm happy for you. My Aetna Insurance states they don't cover bariatric surgery. :-( Even though I have all of the horrible things to go with being over weight. Mexico is calling me name...what can I do?

Not a thing...Mexico here you come!!

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if you don't mind my asking, how much did you pay lindstrom for your appeal?

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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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    • 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.
      · 1 reply
      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.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

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

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    • KimBaxleyWilson

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