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

Thanks so much! I am sure the Ls will be successful for you. Kerp in touch!

oh wow I found the perfect forum, I am working with lindstrom as well. I hired them jan 2016 to help with my case to overturn my denial, but just last week they denied my appeal but lindstrom is not giving up without a fight they are an awesome team. The reason they are saying my surgery was denied bec of net weight gain 1.5 lbs and my surgery was not scheduled within 6 months of initial date. we questioned them over and over again , " when was I suppose to have scheduled the surgery if you already denied right after the 3 month pre-op requirement" ?. all Aetna could do is read my policy to us 20 times UGHHH! . I was so hurt and disgusted by this I could not believe it and I was going over it in my head about everything asking myself, where could things have went wrong? no way 1.5 lbs gained would be such a big deal bec you cant calculate 1.5 lbs as a major weight gain. So many factors can cause a 1.5 gain. clothes , time of month anything etc....... at this point , I was confused and I started to do a little digging on my own today 7/27/16. so, I called my dr office and asked what were my weigh in's which I should have been monitoring and keeping track of everything from insurance coverage to all my weigh in info.
/initial start date 6/2015 240 , 7/2015 245 , 8/2015 242, finial weigh in 9/2015 239.5 .. MY MOUTH DROPPED! ok so where is this 1.5lb weight gain they are talking about, what was the real reason for denial???? so I am thinking the ball dropped with someone or am I missing something here ? has anyone experienced this before?

C

Edited July 30, 20169 yr by Amurillo04

Received call from Aetna and I am now approved for surgery !!!!! ????????????????

Sent from my iPhone using the BariatricPal App

Congratulations

Sent from my SM-G530T using the BariatricPal App

@@krazy kat thank you

Sent from my iPhone using the BariatricPal App

Received call from Aetna and I am now approved for surgery !!!!! ????????????????

Sent from my iPhone using the BariatricPal App

Congrats!! That's the best news! They are amazing and wish you the best of luck!

Omg! You look awesome!!! Thank you for the encouragement. Were you nervous before the surgery , How was the first few weeks? @@KSTUZ

Sent from my iPhone using the BariatricPal App

I am now thinking of a surgery date and the holidays are approaching so maybe End of December or just make the sacrifice and do it end of September , first week of October so it will not be so hard for me during the holidays with family. I just don't know !!!

@@KSTUZ

Sent from my iPhone using the BariatricPal App

Omg! You look awesome!!! Thank you for the encouragement. Were you nervous before the surgery , How was the first few weeks? @@KSTUZ

Sent from my iPhone using the BariatricPal App

Terrified, but it has been the best thing I've ever done.

Just remember this, first few months while your on liquid , purée and soft foods...u will be able to eat ANYTHING you want in a few months. Do not eat what your not supposed too and risk hurting yourself. I kept telling myself this is only temporary. And it was. I'm over a year and a half out.

I am now thinking of a surgery date and the holidays are approaching so maybe End of December or just make the sacrifice and do it end of September , first week of October so it will not be so hard for me during the holidays with family. I just don't know !!!

@@KSTUZ

Sent from my iPhone using the BariatricPal App

I was terrified. But excited!!

I had mine done Jan 5th.

It was the soonest I could get it done.

Jan is a great month to start and I have 6 months to have this done from yesterday date. Per my advocate , do not have it done at the turn of the year to risk the chance of my ins policy changing and it be excluded Bec I was thinking Jan as the perfect time.

Oh well I guess I have to do what I have to do.

Sent from my iPhone using the BariatricPal App

Yes I am terrified of the what if's but I must stay positive. I was not so concerned when it was getting denied and trying to fight it Bec it was like i was pushing it off to give me more time to really think about it and now it is actually about to happen , I'm like omg !! This is really going to happen.

Sent from my iPhone using the BariatricPal App

Absolutely beautiful

Sent from my VS987 using the BariatricPal App

Yes I am terrified of the what if's but I must stay positive. I was not so concerned when it was getting denied and trying to fight it Bec it was like i was pushing it off to give me more time to really think about it and now it is actually about to happen , I'm like omg !! This is really going to happen.

Sent from my iPhone using the BariatricPal App

I'm the healthiest I've ever been.

No more high blood pressure

No more cholesterol/bp meds

And I feel like a new person.

You're going to be so happy you did this. Trust me!!