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Yay! Congrats!!!!
thank you
HW: 401 SW: 297 CW: 200.8
RNY gastric bypass surgery on March 5th, 2013
I have hired them to help with my appeal. They contacted me with some followup questions and a plan of action within 24 hours of my submitting my info to them. This is miles beyond the service I got with the doctor's insurance coordinator. I believe they offer free consultations; it might be worth talking to them?
Sleeved 6/12/13 - 100 pounds lost to get to goal!
Yay! Congrats!!!!
HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"
M1: -24 (205) | M2: -14 (191) | M3: -11 (180) | M4: -7 (173) | M5: -7 (166) | M6: -8 (158) | M7: -11 (147) | M8: -2 (145) | M9: -3 (142) | M10: -2 (140) | M11: -4 (136) | M12: -2 (134) | M13: -0 (134) | M14: -3 (131) | M15: +4 (135) | M16: +2 (137)
Just updating to let everyone know i was APPROVED as of yesterday!!!!! 
HW: 401 SW: 297 CW: 200.8
RNY gastric bypass surgery on March 5th, 2013
This thread is really old, so I hope you don't mind me responding. Here is Walter Lindstrom's website, where you can find contact information.
HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"
M1: -24 (205) | M2: -14 (191) | M3: -11 (180) | M4: -7 (173) | M5: -7 (166) | M6: -8 (158) | M7: -11 (147) | M8: -2 (145) | M9: -3 (142) | M10: -2 (140) | M11: -4 (136) | M12: -2 (134) | M13: -0 (134) | M14: -3 (131) | M15: +4 (135) | M16: +2 (137)
Sorry to hear that. I guess your only option would be to have your doctor write a letter asking them to expedite the appeal process for dire medical reasons, and then explain the hernia. Hopefully it won't take the full 8-12 weeks. I wish you luck!
HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"
M1: -24 (205) | M2: -14 (191) | M3: -11 (180) | M4: -7 (173) | M5: -7 (166) | M6: -8 (158) | M7: -11 (147) | M8: -2 (145) | M9: -3 (142) | M10: -2 (140) | M11: -4 (136) | M12: -2 (134) | M13: -0 (134) | M14: -3 (131) | M15: +4 (135) | M16: +2 (137)
They said they will not accept any new information, I did go in again this month on the 31st which would technically give me about 120 days but she said my only option is to do an appeal at this point.
I am not sure you can get them to expedite an appeal. It certainly wouldn't hurt to try it, but I'm not sure of the process.
Instead of appealing, can you do 3 more days of the program, and then resubmit your paperwork to Aetna? That might be faster. And, I have heard that Aetna is notorious for being strict about the 90-day program - so I am not sure where the doctor's office lady gets her info. They want at least 90 days. If you can see a doctor now, and have them write down your current weight, what you've been doing since the 88th day of the program, and document your vitals, maybe that will be enough to qualify for the 90 days. The 90-day program does not have to be a specific "program" per se, there are just certain criteria that need to be met, and you need to be dedicated for at least 90 days.
Good luck!
HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"
M1: -24 (205) | M2: -14 (191) | M3: -11 (180) | M4: -7 (173) | M5: -7 (166) | M6: -8 (158) | M7: -11 (147) | M8: -2 (145) | M9: -3 (142) | M10: -2 (140) | M11: -4 (136) | M12: -2 (134) | M13: -0 (134) | M14: -3 (131) | M15: +4 (135) | M16: +2 (137)
Hockeymom87 · 0 replies · 857 views
