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Getting approved by Aetna



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Im in the process oftrying ti get approved by Aetna, but im nervous im going to be denied. Ive been having an issue with getting 2 years of recorded weight history. Ive have 2 medical history from 2014 and didnt go the the dr in 2015. I did however had a pre employment physical for my job in 2015. On my work badge it has my weight and start date of 4-30-15 but an issue date of 1-23-16. I also have gerd, hiatus hernia, gastritis, & diabetes on both sides of my family including my father. My bmi is 45. I had to do 3 months weight lose training, an egd, amonst other things. really nervous and don't want to get turned down. Does anyone have any advice

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Edited by Brianajubert

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I was approved with aetna hmo. Bmi was 36 and i had high cholesterol and back issues. All they required was for me to lose 5 to 10 lbs and no smoking for 6 weeks.

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I didn't need any history of weight problems for Aetna. All I need was the NUT visits, doctor letter, psych eval, and no net weight gain in the 3 months. Are you sure you need the weight history?

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I didn't need any history of weight problems for Aetna. All I need was the NUT visits, doctor letter, psych eval, and no net weight gain in the 3 months. Are you sure you need the weight history?

Yes ma'am. They are asking for medical recorded history for 2014 & 2015

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I didnt go to the doctor much one year due to no insurance. as long as you have one recorded weight you will be ok. I was approved with Aetna in may. I was worried about the same, but if you were over weight 2014 and overweight now im sure they can figure out that you didn't get skinny in 2015.Have you looked at the clinical bulletin online? i followed that thing to the letter . had a copy printed out and saved on my phone . if I had any concern that I could not provide something I asked my surgical group. they know how to get approved and will work hard to get that money.

Edited by Womanvsmirror

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    • 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

        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

      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

        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.

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        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.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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