Aetna Help

[mslissa5 0]

Hi Everyone,

I am new here and this is my first post. I had my first visit to explain the lapband and all the dr.s visits. I have my psych, nutritionist, pulm., and cardiologist all on the same day which is great. I have been reading here that Aetna requires 90 days of monitored exercise and dieting. Can this be done with your PCP? I just don't want to be denied and am trying to do everything I can beforehand to prevent it. I hope this goes smoothly. I can't wait to get banded!

:smile:

[Bryn 3]

Hi Everyone,

I am new here and this is my first post. I had my first visit to explain the LAP-BAND® and all the dr.s visits. I have my psych, nutritionist, pulm., and cardiologist all on the same day which is great. I have been reading here that Aetna requires 90 days of monitored exercise and dieting. Can this be done with your PCP? I just don't want to be denied and am trying to do everything I can beforehand to prevent it. I hope this goes smoothly. I can't wait to get banded!

Hi and welcome

I too have aetna and i was told by my doctor and the surgeon that it can be done with your PCP or other specialty doctor that is involved in your care

[mslissa5 0]

Thanks Bry for your response! Good luck to you!

[mslissa5 0]

Update:

I just got my date- 10/12/10. Papers were filed on Monday and I was approved on Wednesday!!!!! YAY! Aetna! So, I guess all my paperwork was good enough! WOO HOOO!!!:thumbup:

[poppieswife 0]

good for you and a fast date too!

[CheckYes 46]

My Aetna policy provides NO coverage for bariatric surgery - even with comorbidities. If you can, get a copy of your policy right away and read it.

I hope your policy is different than mine!

[mslissa5 0]

My Aetna policy provides NO coverage for bariatric surgery - even with comorbidities. If you can, get a copy of your policy right away and read it.

I hope your policy is different than mine!

Hi,

I had to do a little research on the Aetna website. There is a Clinical Policy Bulletin #0157 that explains in great detail the exact criteria to be approved for bariatric surgery. I am not sure what kind of insurance you have but it might be worth a look. Good Luck to you!

[Daelynn 0]

You got approved before the 90 days? Did you not have to do the 90 day diet?

thanks

[mslissa5 0]

Daelynn,

Before deciding to go with the Lap Band, I had been visiting my PCP for monthly monitoring on a diet plan. So, it kinda worked in my favor once I decided to go ahead with the surgery having 6 months of diet info to submit.

Melissa