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Waiting on approval from Aetna

Joymarie333

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LaLaLucy    22

LaLaLucy
Posted

Any word joymarie? I called Aetna twice today and it's still pending. Ugh.

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muzical1    85

muzical1
Posted

I called Aetna and they said mine was pending too they told me that the date they put on my paperwork was for August 4 but I don't know if that's an actual date that I can have surgery on because I know I have to do a 2 week liquid diet? Also when I called the insurance company they told me that West medical submitted my application to them on a Friday but they had to cancel that application because they put outpatient procedure and they said they resubmitted it on the 14th to inpatient procedure so I guess they just made a mistake. It's been a total of 5 days! How many days have you been waiting?

Hey, just checking on you. I'm still sending good thoughts your way for a speedy approval!

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Joymarie333    41

Joymarie333
Posted

Approved today!

congratulations to your new journey, i hope everything goes well. My prayers go out to u!!!! So what's the next step? What is the very next thing u have to do?

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Joymarie333    41

Joymarie333
Posted

Any word joymarie? I called Aetna twice today and it's still pending. Ugh.

. I called Aetna today they said that my application was still pending but it was on the commissioners desk and I guess he's the very last one that signs off on it so they said I should have an answer within 24 hours I'm just praying for a approval tomorrow because only God knows how I feel in this body for many years! I never thought it would get to this point but life happens and sometimes you just get to a point where you need help! Feeling overwhelmed and depressed but I know better days are to come!!!

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Joymarie333    41

Joymarie333
Posted

I called Aetna and they said mine was pending too they told me that the date they put on my paperwork was for August 4 but I don't know if that's an actual date that I can have surgery on because I know I have to do a 2 week liquid diet? Also when I called the insurance company they told me that West medical submitted my application to them on a Friday but they had to cancel that application because they put outpatient procedure and they said they resubmitted it on the 14th to inpatient procedure so I guess they just made a mistake. It's been a total of 5 days! How many days have you been waiting?

Hey, just checking on you. I'm still sending good thoughts your way for a speedy approval!
Thanks for checking up ! It's funny how people so close to you forgets about your feelings and doesn't ever check up. This website has encourage me a whole lot really glad you're here to go through the process with me! How are you feeling? Are you still feeling nauseated? Please excuse the grammar talk I'm talk texting.

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muzical1    85

muzical1
Posted

I called Aetna and they said mine was pending too they told me that the date they put on my paperwork was for August 4 but I don't know if that's an actual date that I can have surgery on because I know I have to do a 2 week liquid diet? Also when I called the insurance company they told me that West medical submitted my application to them on a Friday but they had to cancel that application because they put outpatient procedure and they said they resubmitted it on the 14th to inpatient procedure so I guess they just made a mistake. It's been a total of 5 days! How many days have you been waiting?

Hey, just checking on you. I'm still sending good thoughts your way for a speedy approval!
Thanks for checking up ! It's funny how people so close to you forgets about your feelings and doesn't ever check up. This website has encourage me a whole lot really glad you're here to go through the process with me! How are you feeling? Are you still feeling nauseated? Please excuse the grammar talk I'm talk texting.
Yes, this site is full of caring people. I was worried when I didn't see any updates from you. One more day and you'll be on your way!

I'm feeling ok. My doctor put me on liquids for a few days to see it it settles. So far it's going well. Having some tests later in the week to make sure everything is ok. Thanks so much for asking.

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nurseforlapband    11

nurseforlapband
Posted

Approved today!

congratulations to your new journey, i hope everything goes well. My prayers go out to u!!!! So what's the next step? What is the very next thing u have to do?

Thank you! Super excited. Hang in there they will approve you tomorrow. Well, I have to meet with surgeon this week for preoperative appointment to set up surgery date and to discuss preoperative diet (another hurdle).

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LaLaLucy    22

LaLaLucy
Posted

I called Aetna this morning and it was still pending. I called this afternoon and it was signed by the medical director as approved but hasn't been finalized yet. Whatever that means! Sounds like good news to me so I hope I hear from my doctors office tomorrow. I left them a voice mail. I am scared to be excited right now.

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Joymarie333    41

Joymarie333
Posted

I called Aetna today and they said I was denied because I didn't show prof of my 3 month weight lose program with Nut but I did and I called the surgeons office and they said don't worry and they will do a peer to peer. Do u know how long it will take for a peer to peer ?

The feeling of hearing the denial word is heartbreaking

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Joymarie333    41

Joymarie333
Posted

I called Aetna this morning and it was still pending. I called this afternoon and it was signed by the medical director as approved but hasn't been finalized yet. Whatever that means! Sounds like good news to me so I hope I hear from my doctors office tomorrow. I left them a voice mail. I am scared to be excited right now.

I'm truly happy for u! Keep me posted

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • Aunty Mamo

      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.
    • BeanitoDiego

      BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
      · 0 replies
      1. This update has no replies.

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