ait

waynes6 I have Aetna Open Access. I just went on Aetna's website and these are the procedures they cover (I bolded underlined the band): Roux-en-Y Gastric Bypass (RYGB), Laparoscopic Adjustable Silicone Gastric Banding (LASGB), Biliopancreatic Diversion (BPD) and Duodenal Switch (DS) Procedures: Aetna considers open or laparoscopic Roux-en-Y gastric bypass (RYGB), open or laparoscopic biliopancreatic diversion (BPD) with or without duodenal switch (DS), or laparoscopic adjustable silicone gastric banding (LASGB) medically necessary when the selection criteria listed below are met. I had a very easy time getting approved by Aetna, and from what I've heard and read on these boards, if you meet their requirements and take the steps they mandate then you'll be approved. Good luck!

Congrats! I don't share your surgery date but we have the same pre-op testing date - Feb 23rd. We can be partners in that!

Congratulations!!!!!!!! You must be so excited

I agree with what everyone else said, it sounds like there's a pissy person at the surgeon's office who is being lazy. You do not need anything other than an over 40 BMI for two years to get approval from Aetna. You do need to do the six or three month diet, have a psych eval and things like that, but in terms of weight it's just the over 40. I was approved by Aetna in one day with a BMI that ranged from 40-41 over the past two years. Keep trying and good luck!

dunkin donuts egg and cheese on sesame bagel for Breakfast large popcorn with large diet coke at the movies (did this one already) all you can eat sushi buffet steak steak steak

yes babe, its just awful. the party was so nice but i had this sickening feeling for most of it.

I've been thinking about this post all weekend. I was at a dinner party Friday night and had a great time talking to the girls I was seated near, but to the men it was as if I was invisible (pretty much everyone there was single). I am very very very much looking forward to not feeling like I am a ghost. I'm also looking forward to everything that everyone else wrote, but this one is striking home for me big time after my Friday night experience.

Are you sure you need a 5 year history? I just got approved by Aetna and I only needed a 2 years - I sent 2007 and 2008. Check on it.

Congratulations!

Congratulations!!!

so many of us are the second week in march! i'm so excited, and still cant believe this is really happening

I have not heard of anyone getting approved when there was an exclusion against WLS in their policy. There was an exclusion on my policy last year and they told me it is not even a discussion.

i'm in NY-surgery is at NYU good luck!

i also have aetna ppo and it took them one day to approve me (submitted paperwork on friday, got approval this afternoon). my paperwork was 100% in order though which is what i hear the key is. good luck - hope to hear good news!

I got approved!!! Thanks all for your help-I'm so happy! The surgeon's office just called.

thanks guys!!! megster i cried too :tongue:

I'm so happy - the surgeon's office just called me and I'm approved! Surgery is March 9th and I'm thrilled to begin this new chapter in my life :tongue:

thank you! i'm on such a high

I just got approved - the surgeon's office just called me! I'm sooooo happy - March 9th it is!!!!!

Thanks Julie. The number on the back of my card is the same general number on the website, which I guess means my company isn't big enough to warrant a dedicated number. I just tried googling Aetna precertification phone #'s but couldn't find anything. Oh well.