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My docter won't submit to Aetna until after my file goes to their review board which is July 28. The lady said that my sugery set for August 24th is pushing it because Aetna sometimes takes 4 weeks to approve. I heard from others with Aetna they were approved in less than a week. I am crossing my fingers since I am a teacher and it is August or I have to wait till November. Good luck!