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Old 07-28-2010, 12:09 PM   #1 (permalink)
Whipper Snapper
 
Join Date: Jul 2010
Location: Northern VA
Posts: 10

Weight Statistics

6/01/2010
Start Date:
09/15/2010
Surgery Date:
5' 8"
Height:
362 lb
Start Weight:
328 lb
Current Weight:
195 lb
Goal Weight:
34 lb
Weight Loss:
133 lb
Lb Left to Lose:
9.39226519337 %
% Lost:

Body Mass Index
55.035899654
BMI Start:
49.8667820069
BMI Current:
29.6464100346
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Question Aetna PPO ??

Hi Guys, I'm new to the forum and had a question about insurance.
I am going on my 3rd month of Aetna's preop program. Has anyone else done this recently? I'm just concerned about getting the approval.

thx
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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 07-28-2010, 08:29 PM   #2 (permalink)
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Join Date: Jul 2010
Location: OKC, OK
Posts: 440
Blog Entries: 16

Weight Statistics

1/1/2009
Start Date:
9/27/2010
Surgery Date:
5' 6"
Height:
245 lb
Start Weight:
143 lb
Current Weight:
130 lb
Goal Weight:
102 lb
Weight Loss:
13 lb
Lb Left to Lose:
41.6326530612 %
% Lost:
7/20/2012
Goal Date:

Body Mass Index
39.5397153352
BMI Start:
23.0782828283
BMI Current:
20.9802571166
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

I have Aetna (as of Feb of this year). I have already done a 6+ month diet under the guidance of a DR. I went through my psych eval and physical therapy. Everything has been submitted...now we are just waiting on the insurance to approve or deny.....

My Surgeon's office says there shouldn't be any worries...but just over a week and we haven't heard back yet...hard to be patient.

If you are following the program to their specifications, usually that seems to go through (from what my DR office said). Good Luck I wish you all the best!!

Kayti
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Old 07-28-2010, 08:30 PM   #3 (permalink)
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Join Date: Dec 2009
Location: Iowa
Posts: 1,729
Blog Entries: 11

Weight Statistics

1/1/2010
Start Date:
August 3, 2010
Surgery Date:
5' 6"
Height:
292 lb
Start Weight:
208 lb
Current Weight:
150 lb
Goal Weight:
84 lb
Weight Loss:
58 lb
Lb Left to Lose:
28.7671232877 %
% Lost:
December 2011
Goal Date:

Body Mass Index
47.1248852158
BMI Start:
33.5684113866
BMI Current:
24.2079889807
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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Default

Not Aetna's pre-op program, but most insurance companies seem to require a 6 month pre-op supervised diet. Are you working with a surgeon yet or just your pcp? The surgeons that do this routinely have a lot of experience dealing with insurance companies and getting the approvals they need.

Welcome to the group and good luck on your journey.
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23 pounds lost prior to surgery.

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