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Aetna POS II Choice

Flowerpurr

By Flowerpurr, in Insurance & Financing

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Flowerpurr    0

Flowerpurr
Posted

Hello Eveyone,

I have Aenta insurance and my current BMI is 47. I just went to my Dr. last week and he told me to come back in two weeks for a blood work up and a physical. Aetna won't help me to find out if I qualify they say they can't tell me. So I went on there site and pulled the information. I was wondering if anyone has gotten approved without doing either the six month program or the three month program. I want my surgery like yesterday. Any experiences anyone can help me with?:help:

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destiny79    0

destiny79
Posted

sorry to tell you but you must complete one of them and you cannot miss a month and than pick up the following month. they will make you start all over again. but it is so worth it.

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aubrie    6

aubrie
Posted

Even after doing the 6 month diet, and everything else they required, I STILL got denied. I appealed and now 5 months later and having danced through more hoops I finally got approved. I'm having my band done on the 19th. From start to finish it took me 11 grueling months. Even with all this, they will only pay $1085. I have to pay the doctor $3000 out of my pocket on top of all this greif. Aetna sucks.

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Flowerpurr    0

Flowerpurr
Posted

Why did they deny you in the first place? Did you show five years in a row of being obese? I have one year missing to make five in a row but I can show more than that throught my life? Do you think this will pass?

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aubrie    6

aubrie
Posted

they denied me because they said my doctor's 6 month documentation "wasn't good enough". that's when I had all my other doctors write letters and send documentation of other problems I was having. I had my OB/GYN document my stress incontinence, my cardiologist document my heart problems and high blood pressure, I had a sleep study done, and had my Rhumetolgist document the deterioration of my knees and hips from the weight. After that appeal, how could they refuse?

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JESS4HOUSTON    0

JESS4HOUSTON
Posted

I have Aetna POS II Choice as well. I'm currently doing the 6 PCP diet and will also provide them with my weight history for five year and I'll be praying for approval. I'm worried about the $$ part of it.

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Go To Topic Listing Insurance & Financing

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

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