Hi everyone,
I'm new to the forum and had some questions I'm hoping some of you might answer.
I have Aetna PPO. I've read the clinical bulletin regarding coverage of bariatric surgery. I understand that I need to have a BMI of >= 35 and either 6 months of a physician supervised weight loss program or 3 months of multidiscplinary team weight loss program.
Right now, my BMI is just over 35, but I have several co-morbid conditions (diabetes, sleep apnea, hypertension, high cholesterol). If I go on a weight loss program and my BMI drops below 35, will Aetna deny the procedure?
I'd appreciate any assistance. Thanks so much!
Jen