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Kris08 · 11-05-2009, 05:13 PM

My name is Kristal im 28 yrs old. I live in Jacksonville,FL. I am in the beginning process of getting the LAP-BAND®. They should be sending all the paperwork off to Aetna pretty soon I have finished all the requirements they asked for. I am kinda worried because Feb 08 - Aug 08 I did a 6 month monitored weight program through my primary care doctor required by Aetna. I went every month except July I was told I didn't need to come I didn't know how the process went. Dr. Cywes office says that I could get denied for not going six months consecutively I hope that is not the case. Hopefully everything will workout and I will be approved for the surgery. I am 5'7 and currently weigh 315lbs

.....This is the biggest I have EVER been .. Something has to be done!!!

happy2lose · 11-05-2009, 09:33 PM

My medical coverage state if you miss a class you must make up that class and will have to wait until it is offered again.

meldlc37 · 11-07-2009, 08:39 AM

Welcome Kristal, well I hope they approve you. I think waiting to hear from the insurance is the worst. Just the not knowing and waiting to see what else you have to do to reach your goal.

Let us know how it goes.

Kris08 · 11-11-2009, 03:55 PM

Well I just got back from my primary care doctor and she really upset me

. Because of them telling me not to come one month (July 08) and now not correcting their mistake I am gonna have to submit my paperwork and just pray Aetna still approves me. I am beyond upset by this and their mistake. If I get denied for the surgery I will have to start my 6 month monitored weight loss all over again ....yay

shonette · 11-11-2009, 05:17 PM

I am a 37 yr old mother of two beautiful children. My son is 4yrs old and my daughter will soon be 17yrs old in Dec.

I have read a lot of materials on the Lap-band® procedure, and I really would like to have it done. My husband recently informed me that his health insurance will cover the band, and I became so excited of the chance to have it done.

I will not be approved for his health coverage until Jan 10. Then I will make an appt to see a local doctor in Valdosta who have completed several lap-bands. He has actually had the band done on himself. That made me feel really good to know that he can relate to his patients, because he has been in the same place as well. I have lost about 30 pounds since this past Aug 09 but it isnt enough weight lost. I have never been this over weight in my entire life ( my current weight is 305 and I am 6'1). A lot of people don't believe that I actually weigh this much but the scales don't lie. I have been really depressed lately due to some personal issues in my life, and losing this weight will help fast track my life. I hope I don't have to go on a six month weight lost program before I can be considered for the band.

Kris08 · 11-11-2009, 05:27 PM

Welcome Shonette.... Each insurance company is different on their requirements Aetna PPO does require a physician monitored 6 month weight management program. Some require 3 months some require none is just depends. Good luck !!!

Astrasmom · 11-11-2009, 05:55 PM

Welcome Shonte and Kris. My insurance was BCBS and they required a 6 month waiting period. I really didn't have to go on a monitored diet but I did have to go through several tests before I got here. As I tell everyone else. They waiting period REALLY sucks but the results are worth waiting for. I'm 42 and have an 18 and a 21 year old sons and I was banded on Oct 23, 2009. I am feeling awesome.
Good luck with your insurance companies. And even if you have to wait. It's ok. Personally I liked the 6 month wait because I got 6 visits with the nutritionist and I learned quiet a bit.