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I fought and i won...woo hoo!!

I can't believe I am writing these words. After a year of fighting for the band I just found out I am approved.

I had given up on the band and was in the process of going for the bypass.

A little back ground

I have Aetna. It is a self funded insurance plan.I had to hire a lawyer

I went through all of my appeals. Practically begged my Husband job to overturn the decision but they did not want to set a precidence ( their words) and finally had a 3rd party review who overturned the denial.

I have a tentitive surgery date of August 29th. Since i did all of my tests a year ago they have to find out if i have to re-do any. Ireally hope not.

So keep fighting for what you want and deserve. It is all possible...

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  • Author

Thank you all so much this means the world to me. I feel like i am getting a new life. I am having my surgery in the hospital I was born in. Its like being reborn..lol

I fought for 3 years, but those people had it sewed up. As circumstances would have it, I sold some property to pay for the band and got my date today--July 20.

Like you, I feel like I will have 2 birthdays this year--July 20 and my birth day. Hey, I like the sound of that! Does that mean more presents??

Congratulations!

Colleen

  • Author

I am thinking it should mean lots more presents...lol

Good luck on the 20 th I will be looking forward to reading your post after surgery..

Amy

  • 2 weeks later...
I can't believe I am writing these words. After a year of fighting for the band I just found out I am approved.

I had given up on the band and was in the process of going for the bypass.

A little back ground

I have Aetna. It is a self funded insurance plan.I had to hire a lawyer

I went through all of my appeals. Practically begged my Husband job to overturn the decision but they did not want to set a precidence ( their words) and finally had a 3rd party review who overturned the denial.

I have a tentitive surgery date of August 29th. Since i did all of my tests a year ago they have to find out if i have to re-do any. Ireally hope not.

So keep fighting for what you want and deserve. It is all possible...

TODAY IS THE FIRST TIME I VISITED THIS SITE & IT IS GREAT. I ALSO HAVE AETNA, & FULLY BELIEVE THAT THEY WILL NOT COVER THIS, SO CONGRAULATIONS ON YOUR SUCESS. I WAS WONDERING, WHAT IS THE MEDICAL CODE FOR THIS SURGERY, SO I CAN START DOING SOME INVESTIGATING.

THANKS & GOOD LUCK WITH YOUR SURGERY.

I WAS WONDERING, WHAT IS THE MEDICAL CODE FOR THIS SURGERY, SO I CAN START DOING SOME INVESTIGATING.

The CDT? code is 43843 for AGB (Adjustable Gastric Banding) or Lap Band. Good luck!

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