Guest guest Posted July 7, 2000 Report Share Posted July 7, 2000 Debbie - Dr. Rutledge came to a gathering at a patients house in Orlando last weekend , opened her house to have us all come in to her BEAUTIFUL home, and Dr. R was ther. There was also a lady that is a nurse who actually took a job at Durham Regional JUST so she could " go undercover " - she didn't get to work on his floor, but she would call up and check how the patients were doing! When she was satisfied that they were all doing great, she becasme a patient too!!!! I thought that was funny! Thought you'd enjoy it being a nurse! : ) L. mgn 7-20-00 . .. 13 days!!!! > Being a nurse, I guess I'm a bit of a hard-sell. It took a lot of > reading and talking before I decided this surgery was not just too > good to be true, but was true Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 7, 2000 Report Share Posted July 7, 2000 In a message dated 07/07/2000 3:42:39 AM Pacific Daylight Time, MiniGastricBypass (AT) egroups (DOT) com writes: << Dear WHAT??? that is ridiculous. If Blue Cross gave you the clearance to go in for surgery along with an approval number, I can not imagine for one second that they have a leg or even a toe to stand on. Go on vacation, eat lobster and don't worry. When you get back I bet things will have workrd themselves out. Call pre certification today and get all the approval numbers they gave.. Good luck Susie G >> Hi, I had the same problem but it was resolved when I told them about the letter of preauthorization I received. Nobody questioned anything and all was paid except for the clinic visit. That fee was a drop in the bucket compared to all the diets I paid for in my life. Take care. Janet Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 8, 2003 Report Share Posted December 8, 2003 I have Atena. They require 6 months worth of documented weight loss efforts. They don't care if you've actually lost weight or not, they just want to see if you make the attempt to do so. I had surgery almost a week ago and I can honestly tell you I'm not craving as much as I thought I would be. (mostly grilled chicken is what I'm thinking about!) I also went though the " last meals " but the truth of the matter is that you don't necessarily have to NEVER eat it again. In enough time you may not even like it anymore. A friend who's had WLS over a year ago said that one day she walked past a Mcs and the french fry smell was making her crazy. She wound up with a happy meal. She ate a quarter of her burger and about 6 fries. Don't gain weight before surgery. It's easier for the surgeon to operate. Plus Aetna can overturn the approval. Best of luck. ~Mandy Post Op Lap RNY w/ Gallbladder Removal December 2, 2003 333/?/175 Dr. Herron Mercy Medical Center, NY Message: 2 Date: Sun, 07 Dec 2003 02:11:22 -0000 Subject: Some opinions please.... I've had something rolling around in my mind for a while, and I wanted to get some opinions from pre and post surgery members. I was reading the Aetna policy statement regarding coverage for gastric bypass. They do cover the surgery, however in the many pages of their policy statement, they talk about how losing weight before surgery shows that a prospective patients are " sufficiently motivated " to make the necessary behavioral changes required by the surgery. Well, at first I was furious, because frankly, if I could lose weight by dieting, I WOULD NOT NEED THE SURGERY....DUH! Also, it's not clear who wrote the policy, but I wonder if they would require a smoker to stop smoking before they treated their cancer, or coronary bypass patient to prove they'd stopped eating fried foods before they preformed that surgery. On the other hand, I have been concerned about whether I will be able to transition to a more healthy eating plan after the surgery. My nutrionist feels that the surgery will cure some the the chemical things happening in my body now which will make eating more healthfully easier. This in addition to the restrictive natur of the surgery itself should help. I think I'd have more confidence if I could stabilize my weight and maybe lose a little. Food is so charged for me right now. I'm experiencing the " last time I'll eat this " thing a lot. I don't want to put myself at risk any more than I am. I think my greatest fear is that Aetna will say, no, you haven't lost weight this year...I've gained actually...so no surgery for you! What do you all think? Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.