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First Consult GREAT.. Insurance Changed DISAPPOINTED

3sonsitk

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3sonsitk    16

3sonsitk
Posted

So yesterday was my first initial consult with the surgeon, Dr. Amit Taggar with Florida Surgical Weight Loss Center. I'm currently 5'5, 256 with high cholesterol. I am so ready to have this surgery so that I can stop the medication train before it gets too outta hand. I was planning on a late January to early February surgery due to Aetna only required 3 months with a Nutritionist. Boy was I in for a surprise. My surgeon informed me that Aetna now requires 6 months supervised visits with the Nutritionist and that the plan changed this month. WTH?!!?!

Oh well.. I can see this is going to be the longest 6 months of my life. During this time, I will focus on losing weight and exchanging bad eating habits for good ones. Thanks for reading :)

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Machalo    283

Machalo
Posted

Oh man, what a bummer! I'm on Aetna too and now I'll have to call to check on that. It used to be six months and I was thrilled that it had been reduced to 3 months; if it's gone back up to six ... ARGH! I see my team again next week so I'll be sure to ask that question to make sure we're still on track. Thanks for the heads' up.

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3sonsitk    16

3sonsitk
Posted

Yup. Double check with your Dr.'s office. The surgeon stated he had received more than normal denials and it was due to the policy changing this month. He said 60 % of his patients have Aetna. He also said he could possibly use 3 months of weight loss visits from my PCP because I saw them for weight management prior to deciding on the sleeve. I have to bring him the medical records for him to review on my next visit.

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ChubRub    1,709

ChubRub
Posted

Oh No! I have Aetna too! I go back to the Dr in 2 weeks, so I will talk to them about it. Boo!!!

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Machalo    283

Machalo
Posted

I have Aetna and just had my NUT appointment last Thursday. My insurance did not change, woohoo! I was worried that it might have after looking at this thread, but it's rules for bariatric surgery are still the same within my company. @3sonsitkMaybe your company stopped carrying the insurance rider for the procedures or something? @ChubRub have you checked with your version of Aetna yet?

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Briswife15    890

Briswife15
Posted

Sorry you have to wait an extra 3 months! I, too, had a 6 month nutrition requirement. The time doesn't really drag, because there are other requirements too. In the whole scope of life, these extra 3 months won't teally matter much, but I know you're disappointed. Hang in there.

Sent from my SM-N960U using BariatricPal mobile app

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ChubRub    1,709

ChubRub
Posted

On 11/4/2019 at 3:11 PM, Machalo said:

I have Aetna and just had my NUT appointment last Thursday. My insurance did not change, woohoo! I was worried that it might have after looking at this thread, but it's rules for bariatric surgery are still the same within my company. @3sonsitkMaybe your company stopped carrying the insurance rider for the procedures or something? @ChubRub have you checked with your version of Aetna yet?

Such GREAT news!!! I'm so happy for you!! I see the surgeon on Monday, so fingers crossed that I'll get similar news!!!!

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3sonsitk    16

3sonsitk
Posted

Congrats. My particular Aetna plan changed 10/24/2019. My surgeon asked to review 3 months of med records for when I saw my PCP for weight loss as he may could use them. Tomorrow is my first appt with the nutritionist. Praying that I only have to 3 months.

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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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
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