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Aetna POSII proving previous diets.



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Hello Everyone,

I have a question for you. Did anyone have to show proof of previous diet's tried? I told my Dr. which diet's I did in the past and she wrote them in the letter to Aetna but the surgeons office called and asked what diet's I have tried in the past. They didn't see the letter from my Dr. I asked her do I need to provied documentation she said she didn't know she is just the office manager and if I do she will have the nurse call me. Well if I do I don't have any! La Weight Loss went out of business and Jenny Craig was when I was 16. Teen Weight no more was when I was around 14. I did the Zone Diet on EDiets along with Eating for Life on there to. I did Weight Watchers but my Mom went to the meetings and I just followed along with her. So if someone can please help that would be great!

Thank you!

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I have same insurance and I think they just want to know that you tried everything! Did you have to have 5 year medical history? I did. I would not worry to much!

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I have AETNA POS II also. I didn't have to submit proof of past diets, but my insurance coordinator in the surgeon's office suggested that I include a personal letter stating why I needed this surgery and list all past diets that I had already tried. I was approved in 3 days. Good luck to you.

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I have this insurance and I didn't have to provide anything for the insurance, but my doctor's office had me fill out a form listing all the previous things I had tried. And I believe they submit that form with the rest of your forms to insurance. I didn't have to be exact either. It was something like this:

Atkins diet - June 2000 - December 2000 - lost 40 pounds

Weight Watchers - March 2003 - January 2004 - lost 50 pounds

Phen Phen - September 1997-November 1997 - lost 25 pounds

So, it was a form with this type information and I totally guessed on the the exact months. I knew around about, but nothing written in stone. I was approved in 8 days...

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Aetna is NOT customer friendly regarding bariatric approvals. Aetna denied my request in December 2007 and the Lap Band surgeons had to call Aetna's medical director to ask them to reconsider. One week later I was approved. I was approved Jan 4 and banded April 14. Be encouraged.

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Well thank you all for your help! I pray the nurse sends in my paperwork. She has been sitting on it for three weeks now. I am sure Aetna will be faster than her. Of couse she told me 30 to 60 days for approval or denial.

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      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
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    • 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

        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.

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        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.

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        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

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