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Aetna Net weight gain

I noticed on Aetna's policy topic about bariatric surgery that it says "no net weight gain". What exactly does that mean? I am going to a nutritionist and I have been twice. I gained 3 pounds. Not sure if it was water weight or what but it was 3 lbs higher than my first visit. I am concerned because the scale at the surgeon's :unsure: office had a completely different reading also. Can anyone provide some clarity on this subject?

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  • MemphisWLS
    MemphisWLS

    I had my surgeons appt last week and was told the last weight MUST not be more that the first one. You can gain 1 or 2 in the middle but the first and last must be the same or the last must be less. I

  • I have Aetna. They went by weight according to first nutritionist visit. If I gained any weight at all they would not approve surgery. Read fine details in the policy online. Talk to doctor and n

  • Womanvsmirror
    Womanvsmirror

    I agree during my process I went up 1or 2 on one of my non weigh in visits I made sure I was down at least 4 by the next visit. 48 hour liquid diets and laxatives (which im not recommending) kept me r

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You can do this. You WILL do this!!!!!! Keep at it :)

I have Aetna and was denied the first time because of this. I was required to do six months of nutrition visits and they took the weights from my first appointment and my sixth. I had gained one pound and was denied over it! It's definitely important to be in the right mind set, having to redo those six months of visits really made me change my way of thinking and eating!

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  • Author

I am actually switching from the nutritionist I picked and going with the surgeons office. It's only a 2 month set back but I really feel like I will get better results this way. I want to get on the same scale so my measurements are always correct. Now I have to really focus on making sure the last weigh in is less than the first!

I have Aetna and was denied the first time because of this. I was required to do six months of nutrition visits and they took the weights from my first appointment and my sixth. I had gained one pound and was denied over it! It's definitely important to be in the right mind set, having to redo those six months of visits really made me change my way of thinking and eating!


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I had my surgeons appt last week and was told the last weight MUST not be more that the first one. You can gain 1 or 2 in the middle but the first and last must be the same or the last must be less. I am sure some pple hv been approved outside the requirements, but that's not the norm. I think someone asked about about the 3 months/6 months with Aetna visits...can't remember but, You can do either, my surgeons office will not accept the 3 months so unless I am willing to switch surgeons, it's 6 months for me. I am okay with that though, this is not one decision I would want to hurry through.

Good luck ladies and let's keep encouraging each other.

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  • 5 months later...

I have Aetna and was denied the first time because of this. I was required to do six months of nutrition visits and they took the weights from my first appointment and my sixth. I had gained one pound and was denied over it! It's definitely important to be in the right mind set, having to redo those six months of visits really made me change my way of thinking and eating!

Sent from my iPhone using the BariatricPal App

I have Aetna and was denied the first time because of this. I was required to do six months of nutrition visits and they took the weights from my first appointment and my sixth. I had gained one pound and was denied over it! It's definitely important to be in the right mind set, having to redo those six months of visits really made me change my way of thinking and eating!

Sent from my iPhone using the BariatricPal App

So when you weighed in the last time you weighed more than the first time you weighed?

I have Aetna and was denied the first time because of this. I was required to do six months of nutrition visits and they took the weights from my first appointment and my sixth. I had gained one pound and was denied over it! It's definitely important to be in the right mind set, having to redo those six months of visits really made me change my way of thinking and eating!

Sent from my iPhone using the BariatricPal App

So when you weighed in the last time you weighed more than the first time you weighed?

Yeah, I weighed a pound more!

Does anybody know if this is how it works for Cigna as well? My nutritionist never said anything. I asked her if I had to loose a certain amount and I got a straight no. But didn't mention anything

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Does anybody know if this is how it works for Cigna as well? My nutritionist never said anything. I asked her if I had to loose a certain amount and I got a straight no. But didn't mention anything

I'd imagine it's the same. You can remain the same or lose but you can't gain weight!

Sent from my iPhone using the BariatricPal App

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