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

I Am Offically Approved !!!!!



Recommended Posts

I have Aetna PPO and have jumped through all the hoops. My surgeon's office submitted paperwork on 4/15 and I called today to Aetna and I'm approved! Whew! Surgeon had already scheduled me for May 5th with pre-op on May 1st. I have to say this forum has been the best thing for me. I am on several times every day reading the questions, successes, failures, etc. of so many people. It has given me more information than I could have wished for. Thanks and good luck to everyone on this journey!!!:)

Share this post


Link to post
Share on other sites

I am so happy for you ... It is a long process but you have gotten there now.. Take it one day at a time .I have finished all my pre testing and waiting now for approval ..So you made me feel hopeful today ..

AZChick

Waiting for word to rumble!!!

Share this post


Link to post
Share on other sites

Hi Liz!!

I have Aetna also and am waiting for stuff to be sent to Aetna for approval. Can I ask when you started your process? What did Aetna require? I did a "fast track" for 3 months. I'm hopeful that will be all I need to do.

Share this post


Link to post
Share on other sites

I actually started the beginning of Feb doing the 3 month thing with my PC and the nutritionist. I had to meet with each one once a month for 3 months. The nutritionist had me track food and begin the eating Protein first, then veggies thing. Also get off caffiene, no diet sodas, no drinking with meals. No drinking with meals has been the hardest because I'm eating normal amounts of food now. Should be easier when I'm doing 2 - 4 oz. at a time. Also got me taking all my Vitamins, etc.

Good luck. In case you don't have it, the line for pre-cert checking is 800-245-1206.

Share this post


Link to post
Share on other sites

Well I started first of January with the 3 month thing too. My doctor required one last visit to PCP for a full 3 months with him. I lost and gained several pounds and hope that doesn't hurt my approval process. Thanks for the phone number for Aetna approval. I'm waiting to hear from surgeon as to when they submitted everything. I'm really excited for you with a surgery date. I am in North Dallas, Texas. Where are you?

:)

Share this post


Link to post
Share on other sites

Congratulations on your approval. I have aetna also and have not had the same luck u have had. I have been fighting them since November last year. That is when they first denied me. Hopefully I will be approved soon. And again Congratulations!!!!!!:)

Share this post


Link to post
Share on other sites

Wow all your information have been so helpful. I have done the three month diet as well but I am on my fourth month now! I have been seeing two PCP along with the ditecian weekly, exercise psyh, and behaivor modification specalist. I finally got my psych eval on Monday the 14th. Now I see the suregon on the 21st but still need a letter from another ditecian and the exercise pysch. I am hoping Aetna approves me on the three month diet. I have lost 33lbs but my BMI is still 43 but I have no co-morbities. Good luck to everyone!

Share this post


Link to post
Share on other sites

I was just approved today also and just went in on the 15th, surgery date is pending because I have to do preop things like get a cardiac, respiratory clearances, but will have them next week and the surgery will be the following week, if all goes well.:)

Edited by toinette1953
Tricare Prime approval

Share this post


Link to post
Share on other sites

Did not do any diet. I am over 350lbs, have Hypertension which is controlled with medication. Also have had both kneew replaced, so Tricare did not look twice, just approved it quickly!

Share this post


Link to post
Share on other sites

Flowerpurr. Good grief, I didn't have to do all that. Had Group class with nutritionist and individual consult. Then psych evaluation, 1 x a month with each nutritionist and my PCP. My PCP did do an EKG early on, but that's all for the testing. I don't have any co-morbities yet at 270 and 5'6" (thankfully).

Share this post


Link to post
Share on other sites

Wow Lizbuff I started out at 290 but I am not down to 257. So I am also happy to have no-comorbities but my Dr. said that can work against me. I know I am sick of going to class every week and seeing three Dr.'s a week plus my PCP monthly just in case. Well good luck with your surgery. I hope to be the next one on the table.

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

    • 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. 💜

    • 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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

  • 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

    ×