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Old 04-02-2007, 09:45 PM   #1 (permalink)
Michelle
Whipper Snapper
 
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Join Date: Aug 2006
Location: Utah
Posts: 45

Weight Statistics

May 16, 2007
Surgery Date:
Height:
285 lb
Start Weight:
199 lb
Current Weight:
150 lb
Goal Weight:
86 lb
Weight Loss:
49 lb
Lb Left to Lose:
30.1754385965 %
% Lost:

Body Mass Index
44
BMI Start:

Weight Loss Method
Roux en Y Gastric Bypass
Question Anyone have Aetna Insurance?

I have all of the criteria Aetna says is required to the surgery, but my Dr's office submitted it and it was denied. Part of their criteria is that I need to have been morbidly obese for 5 years (or BMI of 40). I appealed the denial, but I am nervous because my BMI has fluctuated up and down for 10 years. Has anyone had any similar situations?

Thanks,

Michelle
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Alt Weight Loss Surgery Insurance
Yes, you can often get insurance cover for your Weight Loss Surgery.
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Old 04-03-2007, 08:14 AM   #2 (permalink)
jbarfield
Cub Reporter
 
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Join Date: Jan 2007
Location: Houston, Texas
Posts: 82

Weight Statistics

1-27-08
Start Date:
2-22-08
Surgery Date:
Height:
283 lb
Start Weight:
270 lb
Current Weight:
150 lb
Goal Weight:
13 lb
Weight Loss:
120 lb
Lb Left to Lose:
4.59363957597 %
% Lost:
2-14-09
Goal Date:

Body Mass Index
47
BMI Start:
27
BMI Goal:

Weight Loss Method
Sleeve Gastrectomy
Default

I have Aetna and my surgeons' coordinator told me to get a copy of one page from the doctors file showing my weight for 5 years. In other words, 5 doctor's pages. My weight fluctuates also, but I was able to find a time during the year that show that I was overweight. Do you have any co-morbidities as well. I do and in that case your BMI does not have to be 40 or more.
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