Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

Hello

I’m a new to this site and have just a few questions about the process. I already had my seminar 01-22-19 and my 1st official weigh in appointment is 2-12-19. I’ve been told by my insurance advocate that will be time where I can’t gain weight. My insurance is Aetna and they require 3 month diet plan with psych evaluation and a dietician visit. So I guess my question is what has been your experience with Aetna ? What should I lookout for that my hold up my approval. Thanks

Edited by Shanda_2019

Share this post


Link to post
Share on other sites

I started the process the beginning of October. I had the 4th nutrition visit in January (first one was in Oct, then every 28-30 days another so the 4th appointment for weigh in was on day #91 in january). Then I saw the surgeon a week later. They submitted the paperwork and Aetna mailed me the approval letter 10 business days later. From what I understand your weight can go up and down a little due to different clothing etc. (preferable down) during the 90 day nutrition visits but they want that final 90 day weight in to be lower than the first visit. During that 90 day period I did the other tests, blood work etc. For me my surgery is scheduled about 4.5 months after that very first appointment.

Share this post


Link to post
Share on other sites

I have heard so many stories about 3 months to 6 months for approval. Some say you need 2 year records of being overweight. I’m just hoping that my insurance advocate has the right information so there’s surprises at the end of my 90days. Thanks for your feedback.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • rlcpd

      Two months out from hiatal hernia repair.  Surgeon said to expect a lot more flatulence...something about the 'air' no longer being able to 'burp' out so comes out the other end.  That is my experience but have no understanding of why that swallowed air cannot be 'burped'. ???
      · 1 reply
      1. BlondePatriotInCDA

        As I understand it since your stomach is smaller and not completely resting against your diaphragm anymore you no longer have the ability to "push" burps out as well. Plus, since its smaller and we don't digest slower the trapped air moves a lot quicker out of the stomach so its no longer available to burp out. Hence the other option for removal.

    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 0 replies
      1. This update has no replies.
    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×