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Insurance timeframe

kaynga

By kaynga, in Gastric Sleeve Surgery Forums

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kaynga    4

kaynga
Posted

So my Insurance required me to have three months of consecutive weight loss and tomorrow is my final weigh-in. After that my understanding is that they will have 30 to 45 days to approve everything. In everyone else's experience, how long was it between Insurance approval and surgery being scheduled? I'm speaking as someone from the United States. My insurance is through Aetna and my surgery is being done by Saint Francis. I've lost weight every month, but I'm so afraid of being denied regardless.

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Kim58    8

Kim58
Posted

I also have Aetna. My last weigh in was the 10th of November and my doctor submitted my paperwork. I was approved about 12 days later by Aetna and had my surgery Dec 26. I am a teacher and that date was best for me!! Good luck!

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PCOSSUCKS    96

PCOSSUCKS
Posted

anyone with tricare prime?

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Jodyjoe    21

Jodyjoe
Posted

I have Tricare Prime and Medicare


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MoB6227    8

MoB6227
Posted

i was approved in NOvember and only waited a week for approval but surgery wasn't scheduled until feb :/

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PCOSSUCKS    96

PCOSSUCKS
Posted

we have prime remote...husband is deployed and we dont live within 50n miles of a MTF. im excited and nervous; I have been heavy (post partum 11 yrs ago and never lost the baby weight, then 7 years ago just packed on more) for me for so long and have tried to lose it for over 10 years....so depressing....

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PCOSSUCKS    96

PCOSSUCKS
Posted

oh man how frustrating! the wait would drive me crazy!

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PCOSSUCKS    96

PCOSSUCKS
Posted

6 minutes ago, MoB6227 said:

i was approved in NOvember and only waited a week for approval but surgery wasn't scheduled until feb :/

what hoops did you have to jump through?

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MoB6227    8

MoB6227
Posted

6 months of nutritionist, psych, primary doc

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kakatlady612    1,053

kakatlady612
Posted

Kaynga, I was gonna tease you a little, if your surgery,is being done by a Saint,it surely will be blessed. Where is Saint Francis located? My hospital's name,is Mount Carmel so while you're relying on a Saint I will be venturing to the Mount. Bottom line I wish you well with your future surgery.

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PCOSSUCKS    96

PCOSSUCKS
Posted

mine is also st Francis...tulsa ok

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kaynga    4

kaynga
Posted

1 minute ago, kakatlady612 said:

Kaynga, I was gonna tease you a little, if your surgery,is being done by a Saint,it surely will be blessed. Where is Saint Francis located? My hospital's name,is Mount Carmel so while you're relying on a Saint I will be venturing to the Mount. Bottom line I wish you well with your future surgery.

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Haha, I didn't even realize since I'm so used to it as a hospital name. It's St. Francis Hospital in Indianapolis. I guess we'll both be blessed at least. ;) I wish you the best on your surgery as well!!

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PCOSSUCKS    96

PCOSSUCKS
Posted

ok not to obsess over the tricare issue, but if you go thru a MTF do you have to pay anything out of pocket? I am 2 hours away from one but id go there for that if I dont have to pay office visits...

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Go To Topic Listing Gastric Sleeve Surgery Forums

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    • 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.
      · 0 replies
      1. This update has no replies.
    • 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.

    • CaseyP1011

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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