Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Aetna- Has anyone been through the process?



Recommended Posts

I'm getting ready to submit all of the paperwork to my insurance company, Atena. Has anyone been through the process with them? I've been through the 3 month diet (that really turned out to be 6 because of a stupid mistake on my part). I'm such a worrier and would love to hear about some other experiences with Aetna! :blink:

Share this post


Link to post
Share on other sites

I'm getting ready to submit all of the paperwork to my insurance company, Atena. Has anyone been through the process with them? I've been through the 3 month diet (that really turned out to be 6 because of a stupid mistake on my part). I'm such a worrier and would love to hear about some other experiences with Aetna! :blink:

I went thru AETNA and it was a breeze. After my 3 month's of Dr. visits and completing all of the other requirements (EKG, Psych eval) my claim was submitted and approved in less than 5 days and I had my surgery 2wks later

Share this post


Link to post
Share on other sites

I have Aetna they are very quick, just make sure you have all the required paperwork.This will prevent any delay on your approval:) Good Luck!!!!!!

Share this post


Link to post
Share on other sites

Thanks for responding! It makes me feel a bit less anxious. :) If you don't mind me asking, how long had you both been with Aetna before your surgeries?

Share this post


Link to post
Share on other sites

I had Aetna and they approved me within a week of submitting all of the required paperwork. I have had this Aetna policy for 1.5 years. Good luck on your journey!

Share this post


Link to post
Share on other sites

Ive been with AETNA since 2006-2007 but they had a clause that didnt cover the procedure. They just changed their policy in 2009 to cover weightloss surgeries and I jumped right on it and ended up having the procedure in March of 2010.

Share this post


Link to post
Share on other sites

I'm getting ready to submit all of the paperwork to my insurance company, Atena. Has anyone been through the process with them? I've been through the 3 month diet (that really turned out to be 6 because of a stupid mistake on my part). I'm such a worrier and would love to hear about some other experiences with Aetna! :blink:

I have Aetna, and was denied my first go round with them. I was approved after my 2nd appeal. The reason I was denied is that they said I wasn't at a 40 bmi, for 2 years nor was my sleep study sufficient enough. I'm being banded on Cinco de mayo :)

I have a coworker who was just approved (also Aetna) it took about a week for her approval. She's being banded on the 10th of May.

Just make sure you have everything documented, and you have medical history going back at least two years.

Good Luck!!

Share this post


Link to post
Share on other sites

I am also worried about Aetna approving me for the surgery. My current BMI is 43 but I don't know that it has been that for 2 years, but I also have high blood pressure, borderline diabetes, chronic fatique, lower back pain, and a few other things. I want to know if you had any other co-morbidities besides the study and the BMI? Will be finished with my 3 month diet in June and would hate for them not to approve me on a tecnicality.:blink:

I have Aetna, and was denied my first go round with them. I was approved after my 2nd appeal. The reason I was denied is that they said I wasn't at a 40 bmi, for 2 years nor was my sleep study sufficient enough. I'm being banded on Cinco de mayo :)

I have a coworker who was just approved (also Aetna) it took about a week for her approval. She's being banded on the 10th of May.

Just make sure you have everything documented, and you have medical history going back at least two years.

Good Luck!!

Share this post


Link to post
Share on other sites

Hiya,

I did do the sleep study and was only mild apnea which they didn't consider enough of a comorbitity. The only other issues I have is severe asthma and a couple years ago I had spinal fusion surgery to remove my L5 disc. And I dipped below a bmi of 40 during the last 2 years.

Good luck ;) I'm getting ready to head in for my band this morning!!

I am also worried about Aetna approving me for the surgery. My current BMI is 43 but I don't know that it has been that for 2 years, but I also have high blood pressure, borderline diabetes, chronic fatique, lower back pain, and a few other things. I want to know if you had any other co-morbidities besides the study and the BMI? Will be finished with my 3 month diet in June and would hate for them not to approve me on a tecnicality.:blink:

Share this post


Link to post
Share on other sites

I am also worried about Aetna approving me for the surgery. My current BMI is 43 but I don't know that it has been that for 2 years, but I also have high blood pressure, borderline diabetes, chronic fatique, lower back pain, and a few other things. I want to know if you had any other co-morbidities besides the study and the BMI? Will be finished with my 3 month diet in June and would hate for them not to approve me on a tecnicality.:blink:

Can you tell me a little about the diet that you did? I did 3 months with a nutritionist and my primary care physician and I might have to do another 3 months. Did you see anybody else during the 3 months?

Share this post


Link to post
Share on other sites

Hiya,

I did do the sleep study and was only mild apnea which they didn't consider enough of a comorbitity. The only other issues I have is severe asthma and a couple years ago I had spinal fusion surgery to remove my L5 disc. And I dipped below a bmi of 40 during the last 2 years.

Good luck ;) I'm getting ready to head in for my band this morning!!

Good Luck!!! :rolleyes:

Share this post


Link to post
Share on other sites

The only people I saw during my 3 month diet was my PCP and that was it. I met with the surgeon a couple of times but other than that my PCP just had me cut my calories down to 1500 and exercise 3-5 times a week for 30 min-1 hour.

I am also worried about Aetna approving me for the surgery. My current BMI is 43 but I don't know that it has been that for 2 years, but I also have high blood pressure, borderline diabetes, chronic fatique, lower back pain, and a few other things. I want to know if you had any other co-morbidities besides the study and the BMI? Will be finished with my 3 month diet in June and would hate for them not to approve me on a technicality.:blink:

Can you tell me a little about the diet that you did? I did 3 months with a nutritionist and my primary care physician and I might have to do another 3 months. Did you see anybody else during the 3 months?

Share this post


Link to post
Share on other sites

I was just approved!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! :D:lol::rolleyes:

Share this post


Link to post
Share on other sites

I was just approved!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! :D:lol::rolleyes:

CONGRATS!!!!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Yay!! Congrats. I know how good that feels. 🤩

    • Jenopolis

      Had a sleeve in 2017, lost over 100 pounds. Had a DS surgery this year (2025) for more sustainable weight loss. 🤞
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      The 14th was my day. I am home and recovery is going pretty smooth. They even let me walk out of the hospital. Picture of me in recovery curtesy of my boyfriend lol. 

      · 3 replies
      1. DaisyChainOz

        Glad it went well!! Wishing you a speedy recovery and wonderful success!! 🤗

      2. buildabetteranna

        Thank you ❤️

      3. Selina333

        Neat you have a pic of this day! I was sooo happy to get my surgery. It was well worth it! And I'm not even near my goal. I had surgery Dec. 2!

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×