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Aetna insurance in Georgia

SouthernSpinoza

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SouthernSpinoza    2

SouthernSpinoza
Posted

Hello, all. I'm new here and new to the VSG community! I've recently decided to go ahead and have the VSG surgery. I have Aetna Choice POS II as my insurance and I was recently informed by them that it's only a 3 month supervised weight loss requirement, not the 6 months I was dreading. So now I need to find a surgeon! I've been searching and searching and just can't decide. I'd like your experiences please. I'm pretty sure I narrowed it down to Karleena Tuggle at True Results in Atlanta, Kevin McGill at Piedmont Hospital, or William Turton at West Georgia Health in Lagrange. Any info you can share would be wonderful! If you have good, bad, ugly, etc, put it all out there for me. I'm looking for bedside manner, billing, program requirements, post-op care, etc! TIA!

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robyn6868    3

robyn6868
Posted

I have just started this journey as well. I am using Dr. Paul Macik at Northside. He seems to be very good from the research I did on him. I'm not sure if he is on your insurance or not. I am going for my 1 month supervised weight loss visit on July 7th.

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wwboy    141

wwboy
Posted

I am in Washington state but I also have an Aetna plan. I had a very good experience. No denials. Relatively quick process (6mo in total but only that long because of my request). They paid well and on time. All good

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SouthernSpinoza    2

SouthernSpinoza
Posted

I have just started this journey as well. I am using Dr. Paul Macik at Northside. He seems to be very good from the research I did on him. I'm not sure if he is on your insurance or not. I am going for my 1 month supervised weight loss visit on July 7th.

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I just had my first appointment at True Results in Duluth yesterday. The entire experience was amazing. Each staff member was extremely nice and they all took time to answer all my questions. They were even short a receptionist, but I couldn't tell. I'm very pleased with my choice!

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I am in Washington state but I also have an Aetna plan. I had a very good experience. No denials. Relatively quick process (6mo in total but only that long because of my request). They paid well and on time. All good

Thank you for the information. So far so good, but I've only had my first of 4 appointments, so we'll see.

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sc101071    398

sc101071
Posted

I am using Dr. Stetler at Emory Bariatrics (Emory Midtown). I have surgery in two days. He has been great to this point, and the program has been very easy to follow with them.

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Kestrael    42

Kestrael
Posted

Another Georgian! =]

I am new to this process as well (almost on Month 2 of my 90 day diet/exercise thing for Aetna), and I am going through Atlanta Bariatrics with Dr. Johnson. I really like him so far, and his office has been great.

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wilson06    31

wilson06
Posted

I have just started this journey as well. I am using Dr. Paul Macik at Northside. He seems to be very good from the research I did on him. I'm not sure if he is on your insurance or not. I am going for my 1 month supervised weight loss visit on July 7th.

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That's who I'm going thru at northside. Have you had your surgery yet?

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Ipeek90    64

Ipeek90
Posted

Another Georgian! =]

I am new to this process as well (almost on Month 2 of my 90 day diet/exercise thing for Aetna), and I am going through Atlanta Bariatrics with Dr. Johnson. I really like him so far, and his office has been great.

I have Aetna POS II and have my first consultation at Atlanta Bariatrics for Dr Hart on 1/12/17, did they give you a total out of pocket after insurance? My plan is 80/20 I believe.

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Kestrael    42

Kestrael
Posted

Another Georgian! =]

I am new to this process as well (almost on Month 2 of my 90 day diet/exercise thing for Aetna), and I am going through Atlanta Bariatrics with Dr. Johnson. I really like him so far, and his office has been great.

I have Aetna POS II and have my first consultation at Atlanta Bariatrics for Dr Hart on 1/12/17, did they give you a total out of pocket after insurance? My plan is 80/20 I believe.

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Hey! I wasn't given a total out of pocket, but I believe my insurance was similar (80/20). Nutritionist appoints are not included in the insurance so each of those were 50 a pop.

But seriously, that practice has been great! I just got sleeves on Monday, and I could not have been happier. :)

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Ipeek90    64

Ipeek90
Posted

Another Georgian! =]

I am new to this process as well (almost on Month 2 of my 90 day diet/exercise thing for Aetna), and I am going through Atlanta Bariatrics with Dr. Johnson. I really like him so far, and his office has been great.

I have Aetna POS II and have my first consultation at Atlanta Bariatrics for Dr Hart on 1/12/17, did they give you a total out of pocket after insurance? My plan is 80/20 I believe.

Sent from my Nexus 6 using the BariatricPal App

Hey! I wasn't given a total out of pocket, but I believe my insurance was similar (80/20). Nutritionist appoints are not included in the insurance so each of those were 50 a pop.

But seriously, that practice has been great! I just got sleeves on Monday, and I could not have been happier. :)

Sent from my iPhone using the BariatricPal App

I'm glad to hear that they are awesome. Perhaps they don't require the out of pocket upfront. Maybe it get billed from the hospital. If you don't mind let me know if you do end up getting a bill for that last 20%.

The lady I spoke with (Chelsea?) Did tell me the NUT visits were $50 each, which is fine.

I take it they did the 90 pre-op thing that Aetna requires, as opposed to the 6mo supervised diet?

Thanks for answering my questions, I'm way to excited to not try and get this info before the 12th :)

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Go To Topic Listing Weight Loss Surgeons & Hospitals

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    • Doughgurl

      Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 0 replies
      1. This update has no replies.
    • LeighaTR

      LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      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. LeighaTR

        LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      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

        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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