I'm still here

May 14, 2010

It's 4 months later.

Aetna updated their Clinical Policy Bulletin "Obesity Surgery 0157" in April of this year.  They made some clarifications that helped clear up some uncertainties, such as:

- the 2 year weight history needs to cover the last 24 consecutive months
- the 3 month diet has to be done within 6 months of surgery, so I have to do another one
- the 3 month diet has to be 90 days long exactly, not 88 or 89

Based on this, I've decided not to submit again until December.  My first weight was December 4, 2008 at 202 pounds and a BMI of 35.  So I qualify on December 4, 2010.  My weight currently is 262.  I'll redo the diet  August - November this year and really work hard to get ready for surgery. 

I went back to school in the evenings and just completed my first semester with straight As.  It is really helpting to keep my mind off the wait.  I'm taking 2 summer classes, then starting the fall semester in August, and when that's done I will have already submitted.  It's less than 7 months, really!

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About Me
Location
28.2
BMI
RNY
Surgery
01/20/2011
Surgery Date
Feb 03, 2009
Member Since

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