lwilli59

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Called UHC this morning to get status of sleeve surgery request  I was told it was pending.  Decided to call when I got in from work and was told sleeve was APPROVED!

On Friday, I received a letter from United Healthcare approving me to have my band removed due to complications.  My doctors office called me this morning to inform me that she has sent in my paperwork for the sleeve.  The band will be removed first then in 3 months I'll have the sleeve if United approves the surgery.  Please pray that I'm approved for the surgery, I need to get rid of 70 lbs.

 

March 7, 2015 was 7 years with my lap band.  On March 25, 2015 I'll met with Dr Strickland to discuss having my band remove and getting a sleeve.  I  started at 279 got to 209 and currently I weigh 239.  I'm now on 5 BP pills and sleep with a  c pap machine.  I  spoke with my insurance company  UHC to see if revision was possible and what are the requirements.  Because this a revision there would be no requirements to be met on the insurance side, however Dr may require some.  I've been seeing a  cardiologist, and have had sleep study done in October /November.   So hopefully there's not much else to do for Dr requirements.  UHC said if Dr agrees with revision all he has to do is submit paperwork.   They will review and make decision.  My BMI is not 40 but because of Co morbidities I should qualify.  Please pray all goes well for me on Wednesday. 

My surgery is scheduled for  February  26 and the filter will be installed on February  18.  Get Ready Get Ready to make room for me on the losers bench.

Well on January2 that morning  I called Aetna to find the status of my approval.  I was informed that they received the info on December 21 and it was still in a review status.  That evening i went to the Riverside support group meeting (now over the holidays i had changed my mind about having the bypass).  I stated this information at this time and told Lynn that I had found  that my  paperwork was in review she told me that I needed to get in touch with Donna to let her know I had changed surgery types.  Because paperwork may need to be resubmitted. Someone also stated that Aetna may not cover lap band but I already knew that they cover both procedures.  Well when I got home I called Aetna to find out what steps needed to be done to change type of surgery and lo and behold I was informed that surgery was approved that afternoon.  (for bypass)  She stated that the Drs office only have to resubmit new procedure codes to the review staff.  I talked with Donna the next morning and told her she said no problem but she need to get the hard copy approval in hand before changing procedure codes I called Aetna to see if they would fax a copy but because the approval was so new a letter hadn't been generated by the system and they still wouldn't fax copy if it had.  So right now I'm waiting on approval letter. 

Well I finally finished my 6 months of supervised diet required by Aetna on December 5.  The Dr that I was seeing (Dr Antonetti) office said they would send my papers over to Dr Stricklands office that afternoon.  Hopefully the insurance person will call me next week saying that she is about to submit my info  to Aetna.  The best Christmas present will be an approval from Aetna saying YES!!!!!

Hi i'm looking to talk with someone who has had the lap band surgery.  Everyone posting seems to have had the gastric by-pass surgery.