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Waiting Game sucks... Anyone recently submit to Insurance?

I am getting a revision from lap band to sleeve. I got my lap band in 2010. Everything worked fine until I had minor complications almost a year later and after I had my daughter. So it really isnt working for me anymore. I have almost gained all my weight back. I look forward to my journey with my sleeve.

However, my doctor's office submitted my paperwork to Aetna on Oct 24 and still havent heard anything. Ive checked with the coordinator and Aetna and they just tell me its pending. Today is the 10th business day from when it was submitted. Aetna said additional information was submitted on 11/2 and told me to check on Monday.

Anyone else playing the waiting game? Im ready to get this party started lol ;)

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Ugh my doctor submitted oct 5th and i was told to wait fourteen days waited and nothing i called insurance bcbs they tell they never received anything. Omg called doctors they resubmitted called insurance still nothing received finally i got different fax number they they now have it now im waiting again.???? i was so hoping to get it done this year too due to insurance hikes and rates this is a bummer but still hoping.????

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  • Author

Ugh my doctor submitted oct 5th and i was told to wait fourteen days waited and nothing i called insurance bcbs they tell they never received anything. Omg called doctors they resubmitted called insurance still nothing received finally i got different fax number they they now have it now im waiting again. i was so hoping to get it done this year too due to insurance hikes and rates this is a bummer but still hoping.

Sent from my SM-G920P using the BariatricPal App

Wow! That sucks. Hope it's a speedy approval and you get a date this year. I'm going to call my doctor's office today

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I haven't called my insurance or the clinic yet. I'm almost afraid that they will have bad news, that I've been denied. I have Uniform Med Plan and Premera. I don't have any comorbidities, but I still feel like I've met all of the qualifications. I'm just hoping to have it done by the end of the year. :)

I feel the same way. It was submitted last Friday, even though I know their turnaround is quick. I'm nervous to call because I've been denied in the past also.

I got the call today! I'm scheduled for a sleeve gastrectomy on 12/22. Wow! This just got real!

Sent from my SAMSUNG-SM-N910A using the BariatricPal App

  • Author

I haven't called my insurance or the clinic yet. I'm almost afraid that they will have bad news, that I've been denied. I have Uniform Med Plan and Premera. I don't have any comorbidities, but I still feel like I've met all of the qualifications. I'm just hoping to have it done by the end of the year. :)

I feel the same way. It was submitted last Friday, even though I know their turnaround is quick. I'm nervous to call because I've been denied in the past also.
I got the call today! I'm scheduled for a sleeve gastrectomy on 12/22. Wow! This just got real!

Sent from my SAMSUNG-SM-N910A using the BariatricPal App

Wow! Congrats!!! How exciting!

  • Author

So Aetna didnt overturn it with the peer to peer appeal. I got a quote from Lindstrom Obesity Advocacy but I dont know if I can do $600 to $900 to help with the appeal. So I am unsure whether to just let my doctor handle the appeal or have Lindstrom do it. Im so depressed because I really wanted to get it done this year. :(

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