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Hello Everyone,

I need to know if anyone else is having this problem with Aetna. I call the customer service they say my file is assigned to a nurse I call the pre-cert dept and they say it's on hold due to not information. My question is to everyone have you had this happen conflicting stories? Plus the nurse at my Dr.'s office said she doesn't need to submit the three month diet I did with all the notes she said all they need is a summary? Is this true? What did everyone submit? I am so fustrated I could scream. I waited three weeks for the Dr.'s office to submit now you are telling me they didn't get it right? Please someone help! I don't want to get denied because of some stupid nurse.:)

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Wow- sorry to hear that you are having so many problems. I started my journey later than you and I am getting banded on 5/28. I do have the same insurance and I turned in all of my doctors notes and nutritionist notes for the 3 months. I also had a letter from the PCP and doctors notes on weight loss from my endocronologist and obgyn.

The more info the better. My info was sent on 5/5 and received my approval on 5/12. I received my surgery date yesterday.

Good luck with getting through to your doctors office. You do not want to have to deal with an appeal.

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Well thank you and congratulations on your approval. I called Aetna this morning and they said it moved into the decision area. So hopefully I will know in the next couple of days. My Dr.'s office swears they sent Aetna everything they need. If I get denied because they didn't than I am going to pull all my records and go to another Dr. But I have a feeling I will get approved. I have jumped through every hoop and than some. I have letters of medical necessity from six Dr.'s. How can they argue with that? Plus I did what they said on the three month diet and than some. I check in every week with a diet place. Where I saw a ditecian, exercise psychologist, behaivor modificiation specalist, and a Dr. weekly! Plus I checked in with my PCP every month as well. Sooo I did it all. My bmi is 43 so I qualify since I have no co-morbities. So I am praying that I here it's been approved! Let me know how you feel after your surgery.

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    • LeighaTR

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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. 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!

    • 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.

        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

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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