Just had this occur to me. Has anyone had any discussions with their Surgeon's office about what may happen, if anything, after the first of the year and Obamacare starts? I won't be done until Feb and wondered what anyone knew about how WLS may be affected. I will ask at next visit and I can't believe I didn't think of it earlier.

Thanks!

We may be able to help you better if you let us know the reason your wife was denied the DS surgery.

I was successful in getting approved with the 3-month program, but I documented about 102 days worth, just in case.  I also was told not be less than 90 days.  I did doctor-supervised HMR shakes and had weekly classes ( where I met with a nurse, doctor, and nutritionist every week).  As part of this program, I documented my food intake, exercise program, and weekly weigh-ins.  I was approved in about 8 business days.  Listen to Nan - she was instrumental in helping me get approved so quickly.

I have GEHA now, but I'm thinking about switching during open season. Do you know the specific requirements (for approval) for FepBlue? I see none other than preauthorization/approval is required. Just researching all my options!  = )

It looks like you are doing all the right things, the only thing is you can't submit in early October or you will be denied.  Your first visit was really 8-15-13 so 90 days from there would be November 13th.  If you submit any earlier than that it will get denied.  That's what happened to me because my surgeon's office submitted too soon before I was finished with my appointments.  I spoke with someone at Aetna and they confirmed it has to be 90 days, no less.  I will send you a separate PM with everything I did and the letters I submitted with my approval. 

You will need to schedule a NUT and a PCP appointment for 11/13/2013 or after and then you can submit after that.

Once you read through the PM I am going to send you let me know if you have any questions!!

Nan