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Please Help Aetna pos ii



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Hi everyone im new to lapbandtalk.com my name is Angel. Ok so i just finished my six month diet, and all of Aetna requirement but their only one problem they want a two year weight history i didnt have insurance in 2007 so i didnt go to the doctor i have no record of my weight that year. well i know it was above 40 bmi but i dont have proof. But i do have 2005,06,08, and 09 records all over 40bmi do you think they will approve me or will this be a problem please help, im stressing out here.:grouphug:

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i don't have Aetna but do you have a dated pictures for 2007? You can include those with a letter stating your weight. Did you get physical for work? That may help also.

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I heard about the picture thing and i asked my doctor he said they fax the paperwork over and they never sent a picture so that the reason i didnt submit the picture.:ohmy:I wish i would have push it more.

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I think you'll be fine cuz the dates go beyond 2 years. Don't stress. Aetna has been known to come back fast with their answer to you'll know very soon.

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I think you'll be OK - I got approved by Aetna HMO in March. I have been over 40 BMI for at least eight years, but changed Dr.s in 2008- my surgeons office told me to get my old Dr.'s records for more weight history and I was working on it and they turned everything in before I got it to them!!! I thought I would be rejected for sure with only a year of height history - but it came back approved in two days!! I think if you are well over the 40 BMI it's not as much of an issue. Good luck!!

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I have Aetna and was approved very quickly. I think they will approve you. If you are just missing one year, and you had a BMI of 40 or more the year prior, chances are they will assume you didn't loose a drastic amount of weight within one year to drop your BMI and then gain it all back within the same year to get back to the BMI of 40 or more. I think you'll be ok! Call your doc, they probably deal with this kind of thing all the time and will tell you what they think! Good luck!!!

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Hi everyone im new to lapbandtalk.com my name is Angel. Ok so i just finished my six month diet, and all of Aetna requirement but their only one problem they want a two year weight history i didnt have insurance in 2007 so i didnt go to the doctor i have no record of my weight that year. well i know it was above 40 bmi but i dont have proof. But i do have 2005,06,08, and 09 records all over 40bmi do you think they will approve me or will this be a problem please help, im stressing out here.:scared2:

i agree with gonna loose it....u will be fine..as long as u have the other months they will approve you...a complete idiot would have to deny your submission just because one year is missing. You still have evidence of 4 other years where most of them ran consecutive.....let us know the results!

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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.
      · 0 replies
      1. This update has no replies.
    • 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
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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