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Old 11-06-2009, 06:41 PM   #1 (permalink)
Big Loser
 
Join Date: Jun 2009
Location: Ohio
Posts: 187

Weight Statistics

Aug 6th 2009
Start Date:
Feb 25, 2010
Surgery Date:
5' 8"
Height:
294 lb
Start Weight:
177 lb
Current Weight:
160 lb
Goal Weight:
117 lb
Weight Loss:
17 lb
Lb Left to Lose:
39.7959183673 %
% Lost:
2011
Goal Date:

Body Mass Index
44.6976643599
BMI Start:
26.9098183391
BMI Current:
24.3252595156
BMI Goal:
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Question Confused ... Disappointed

Hello everyone,

I called my insurance company (Aetna) today to see if I had been approved yet. The insurance coordinator said I would know something by the end of the week. (which is today) When I talked to the customer rep on the phone she said it could take up to 30 days for an approval! 30 DAYS! Is this true?? How did 5 days turn into 30 days? How are some people getting a 24 hr turn around?

Also the insurance coordinator told me she sent it in Friday and the insurance company said they got it Wednesday put in the system Thursday. Did she lie to me?

Total rant, sorry LOL.

I wonder if they can tell I have called a total of 3 times already
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Alt Weight Loss Surgery Insurance
Yes, you can often get insurance cover for your Weight Loss Surgery.
Our own Craig "Big-T" Thompson has been there and done that, and he's written an e-book about it.

   
Old 11-06-2009, 07:29 PM   #2 (permalink)
Seasoned Veteran
 
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Join Date: Mar 2007
Location: Floyd County Virginia
Posts: 9,445
Blog Entries: 6

Weight Statistics

September 19th 2007
Start Date:
September 19th 2007 June 18,2012
Surgery Date:
5' 10"
Height:
363 lb
Start Weight:
226 lb
Current Weight:
170 lb
Goal Weight:
137 lb
Weight Loss:
56 lb
Lb Left to Lose:
37.741046832 %
% Lost:
When I get there again
Goal Date:

Body Mass Index
52.0793877551
BMI Start:
32.4240816327
BMI Current:
24.3897959184
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

Yes honey some have it done within 24 hours and evidently Aetna has up to 30 days to make a decision. That is always somthing people need to ask when inquiring about this surgery is to call the insurance company themselfs asking if they pay for it what the requirments are and how long do they have to approve it once all paper work is submitted. I would say yes on the number of times you have called. Lets put it this way if they do there job the way they are supposed to......it should have been documented. Dont get down about this. Some companys have up to 3 months to approve or deny.
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Old 11-06-2009, 08:07 PM   #3 (permalink)
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Join Date: Jul 2009
Location: North
Posts: 2,180

Weight Statistics

August 20, 2009
Surgery Date:
5' "
Height:
210 lb
Start Weight:
102 lb
Current Weight:
110 lb
Goal Weight:
108 lb
Weight Loss:
-8 lb
Lb Left to Lose:
51.4285714286 %
% Lost:
August 2010
Goal Date:

Body Mass Index
41.0083333333
BMI Start:
19.9183333333
BMI Current:
21.4805555556
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

Call & ask to speak to a supervisor or patient advocate. Ask for documentation of the approval process thus far. Ask for a supervisor or advocate to hand carry your application through. Sometimes that works with Aetna, depending on which policy you have. (I have BCBS MESSA as primary and Aetna as secondary.) Traditionally, Aetna is very difficult to work with so you have to keep on them.
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Old 11-08-2009, 02:21 PM   #4 (permalink)
Big Loser
 
Join Date: Jun 2009
Location: Ohio
Posts: 187

Weight Statistics

Aug 6th 2009
Start Date:
Feb 25, 2010
Surgery Date:
5' 8"
Height:
294 lb
Start Weight:
177 lb
Current Weight:
160 lb
Goal Weight:
117 lb
Weight Loss:
17 lb
Lb Left to Lose:
39.7959183673 %
% Lost:
2011
Goal Date:

Body Mass Index
44.6976643599
BMI Start:
26.9098183391
BMI Current:
24.3252595156
BMI Goal:
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I have put myself on a call free diet until Friday. :-) I need to be more patient. If I do not hear anything by Friday, I will call the surgeons office and Aetna.
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Old 11-08-2009, 02:24 PM   #5 (permalink)
Seasoned Veteran
 
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Join Date: Apr 2007
Location: NY
Posts: 10,174

Weight Statistics

4/19/2007
Surgery Date:
5' 9"
Height:
260 lb
Start Weight:
152 lb
Current Weight:
165 lb
Goal Weight:
108 lb
Weight Loss:
-13 lb
Lb Left to Lose:
41.5384615385 %
% Lost:

Body Mass Index
38.3910943079
BMI Start:
22.4440243646
BMI Current:
24.36357908
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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LOL. yes they can see that you call. everytime you give them your info they pull up your "account" and document what theyve told you. iw ould ask for someone of authority though.

and yes they have UP TO 30 days but it usually comes in under 30 days. all this is done electronically so your dr might actually have an update as early as next week. hang in there.
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Old 12-01-2009, 12:45 AM   #6 (permalink)
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Join Date: Dec 2008
Location: Redlands, CA
Posts: 16
Blog Entries: 1

Weight Statistics

9/1/2007
Start Date:
12/16/2008
Surgery Date:
6' 4"
Height:
445 lb
Start Weight:
243 lb
Current Weight:
220 lb
Goal Weight:
202 lb
Weight Loss:
23 lb
Lb Left to Lose:
45.393258427 %
% Lost:
2010
Goal Date:

Body Mass Index
54.1611842105
BMI Start:
29.5756578947
BMI Current:
26.7763157895
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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Patience is always the hardest part! When it is all said and done and you are post-op you will reflect on this time and laugh (hopefully).
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Old 12-01-2009, 05:26 AM   #7 (permalink)
Seasoned Veteran
 
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Join Date: Sep 2008
Location: Mississippi
Posts: 5,198

Weight Statistics

3/18/2008 (dieted all my life)
Start Date:
9/30/2008
Surgery Date:
5' 8"
Height:
292 lb
Start Weight:
192 lb
Current Weight:
189 lb
Goal Weight:
100 lb
Weight Loss:
3 lb
Lb Left to Lose:
34.2465753425 %
% Lost:
2 years
Goal Date:

Body Mass Index
44.3935986159
BMI Start:
29.1903114187
BMI Current:
28.7342128028
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

I know it is hard to wait. I was told that it could take from a month to six weeks for approval but it came is less that two weeks. Hang in there. It is so worth all the red tape you are going through now.
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Old 12-01-2009, 05:57 AM   #8 (permalink)
WLS Master Guru
 
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Join Date: Aug 2009
Location: North Dakota
Posts: 557

Weight Statistics

since elementary school !!
Start Date:
August 3rd, 2009
Surgery Date:
5' 8"
Height:
451 lb
Start Weight:
211 lb
Current Weight:
190 lb
Goal Weight:
240 lb
Weight Loss:
21 lb
Lb Left to Lose:
53.2150776053 %
% Lost:
When i get there....
Goal Date:

Body Mass Index
68.5668252595
BMI Start:
32.0789359862
BMI Current:
28.8862456747
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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they have to tell you that long....it woont take that long
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Old 12-01-2009, 06:46 AM   #9 (permalink)
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Join Date: Nov 2005
Location: Tokyo, Japan
Posts: 24,791
Blog Entries: 9

5' 5"
Height:
Default

Mmm...Skinny has approval and date now
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PATIENCE and PERSEVERANCE
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Old 12-01-2009, 06:50 AM   #10 (permalink)
Guru In Training
 
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Join Date: Aug 2009
Location: Ramstein Air Base Germany
Posts: 291
Blog Entries: 3

Weight Statistics

February 17, 2009
Start Date:
February 17, 2009
Surgery Date:
5' 9"
Height:
297 lb
Start Weight:
207 lb
Current Weight:
160 lb
Goal Weight:
90 lb
Weight Loss:
47 lb
Lb Left to Lose:
30.303030303 %
% Lost:
Yesterday, but realistically, when my body is ready!
Goal Date:

Body Mass Index
43.854442344
BMI Start:
30.5652173913
BMI Current:
23.6252888049
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

She does??? How do you know!<!<! That is so great!
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