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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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