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

Approved! --- Aetna Ppo



Recommended Posts

I just had to create my own thread for this because I'm so damn happy! I called member services w Aetna an hour ago to check on the status.. and the girl goes "Oh, for your gastric bandign on 3-31?" Im like what!!!! Apparantly I had JUST gotten approved and they sent notice to my Dr klike 30 minutes before. So, call the surgery center and my coordinator was like, Uh, yeah youre approved but how did you know who called you? There system is down so they set a tentative date of 3-31 but shes calling back later today with my surgery date. :biggrin::lol::smile:

Share this post


Link to post
Share on other sites

how the heck did you manage that??? haha I'm battling with Aetna right now. Maybe I should call them and they will surprise me with an approval too!! =) Congrats!!!! Let us know how everything goes!

Share this post


Link to post
Share on other sites

What did you do to get approved so fast. I had my orientation yesterday and they are going to submit to Aetna in about 2 weeks any help would be appreciated

Share this post


Link to post
Share on other sites

What did you do to get approved so fast. I had my orientation yesterday and they are going to submit to Aetna in about 2 weeks any help would be appreciated

Did you already do your 90 day or 6 month "plan"? Heck this wasnt fast!!! My friend got approved through them in 1 day! It just comes down to the review nurse who gets your files. Some are slower than others, some have more back-logged work to go through before they can get to yours. If you meet their qualifications here: Obesity Surgery

then you are good to go its just a waiting game really. I felt like it was never going to happen, since my best friend was approved in 1 day.

Share this post


Link to post
Share on other sites

I think I meet most of the standards I have been under Dr. Supervised Diet for the last 5 yrs, But I think I will probably still have to do the 90 day diet. Is that what you did. I See on there that you have to have your excersice documented how did you go about doing that

Share this post


Link to post
Share on other sites

I'm hoping that having my curves owner print out montly my attendance log will suffice. Has anyone else had to prove the exercise? If the surgeon documents that you are exercising will that do it? That is one area I am a little unclear on. The insurance person at my dr office thinks the curves idea is a good plan for the 90 day diet. I am starting week 4 of the 3 month supervised diet and I have my first weigh in wed. I have lost about 13 pounds so far in 3 weeks on an 800 calorie a day diet. I feel pretty good. I have lost 21 pounds in 6 weeks altogether since starting to loose weight this go around.

Share this post


Link to post
Share on other sites

Well... here's what little light I can shed. I went to 4 apts in 90 days with a program approved physician/ARN. As for "supervised exercise"- well, she would advise me to exercise and Id do it and then at my next apt we'd go over my compliance. I did not lose weight on my 90 day program, partly because mine started over the holidays LOL. I actually gained 3 lbs and then lost 1 lb. BTW, I rescheduled my surgery for 4/2. End of the month at my job is pretty important I be here. Phew. More time for me to lose those 15 lbs I have to!

Share this post


Link to post
Share on other sites

I don't go to Curves but I did read somewhere else that is what they did and it worked so I think it will work for you. I am a Member of the YMCA so maybe they can do some kind of print out from when I am there

Share this post


Link to post
Share on other sites

well hopefully that will work for me then..I just went to see the Dietician and after I got there she told me she can't see me cause I am not a patient of the Dr's office she works for.. So Now i have to get my Dr to Refer me to a new one.. I want to get this thing started so I can get done quicker

Share this post


Link to post
Share on other sites

I am so happy you finally got your approval!! Let those of us still waiting to hear how it goes and what it is like to be banded. I got comfort hearing that you did not loose much wait during the 90 days. I have lost a few pounds but not much and this has worried me a bit. My doctors office said not to worry, some people actually gain from nervous eating or farewell eating. So it is good to hear it from a actual approved person. Congrats again...l know you have been waiting to hear this good news! .. Meliss

Share this post


Link to post
Share on other sites

I'm working on my 90 day dietician supervised weightloss program. I can't WAIT for it to be over (started March 7th). I'm SO ready to get the ball rolling on my Lapband surgery!!

Grats on your date!! It's comforting to know that they can approve folks that fast! Gives me lots of hope :thumbdown:

Share this post


Link to post
Share on other sites

dogluvr - I have been away this week making my way back to the land of the living after surgery, and was sooooooooooooooo happy to see your good news of approval!!!!!!!!!!!!!!!! Yeah!!! I know how happy you are. Best wishes .

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

    • vsg.with.sharon

      Hey everyone!
      I’m new here! Looking for some friends! 🥰
      · 0 replies
      1. This update has no replies.
    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 3 replies
      1. Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

      2. Selina333

        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

      3. Doughgurl

        I am back home after my bypass surgery in Tiajuana. I'm post op day 4. Everything went great! I guess I'm one of the lucky ones who have not encountered much pain at all, no nausea thus far and I'm having no problem keeping down broths and water. Thank you for your well wishes. I cant wait to keep up this journey and have a chance at better health and simply better quality of life. I know there will be bumps in the road ahead, and everything won't be peaches and cream, but at least I have a great start so far. 😍

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

  • 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

    ×