bonitachica9679

So I just went to my lap band consult appt last Thursday and they said I qualify. I'm much too impatient to do the 6-month option Aetna has so I want to go with the 3 month one (requirements pasted below). My surgeon's office has something in place for the 6 month route but they can't tell me anything about the fast track one and what I should do. I tried finding a different doc in my area that might but no such luck. If anyone using Aetna EPO has been approved for lap band using the 3 month option, PLEASE tell me how you did it. Mainly the exercise regimen (Excluding a personal trainer as that is too expensive) Multidisciplinary surgical preparatory regimen: Proximate to the time of surgery (within 6 months prior to surgery), member must participate in organized multidisciplinary surgical preparatory regimen of at least three consecutive months duration meeting all of the following criteria, in order to improve surgical outcomes, reduce the potential for surgical complications, and establish the member's ability to comply with post-operative medical care and dietary restrictions: 1. Consultation with a dietician or nutritionist; and 2. Reduced-calorie diet program supervised by dietician or nutritionist; and 3. Exercise regimen (unless contraindicated) to improve pulmonary reserve prior to surgery, supervised by exercise therapist or other qualified professional; and 4. Behavior modification program supervised by qualified professional; and 5. Program must have a substantial face-to-face component (must not be entirely delivered remotely); and 6. Documentation in the medical record of the member's participation in the multidisciplinary surgical preparatory regimen at each visit. (A physician's summary letter, without evidence of contemporaneous oversight, is not sufficient documentation. Documentation should include medical records of the physician's initial assessment of the member, and the physician's assessment of the member's progress at the completion of the multidisciplinary surgical preparatory regimen.)

Hi krekre28 Is Aetna paying for the nutritionist visits? I was actually able to find a exercise physiologist to cover the the exercise requirement and it only costs $100 for 3 months so that worked well. I'm now having trouble figuring out the nutritionist requirement. My surgeon's office recommended one, but if insurance doesn't pay it will cost $90 for every 30 minute session. Do you know how may sessions Aetna requires you to do within the 3 months? Thanks for the info :thumbup:

Who are you insured through? I wish mine could be done that quick. I just went for my consult last Thursday so I'm looking at least 3 months before I can even schedule my surgery