Waiting on Aetna Approval....

[NY Bandster 1]

Hi,

All of my paperwork was submitted to Aetna last week. I called today to find out if it was reviewed yet and I was told that it is still under review and that within 48 hours a Nurse would be assigned to my case. I'm hoping that this means that it is looking good. Has anyone ever had a denial from Aetna and had a Nurse assigned to them or do you get the nurse when you are approved. This waiting is so stressful!!!! This decision will be so life changing for me.

Thanks everyone!!

[nayttap 4]

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[Megda06 1]

I have Aetna too but I still have one more appointment until they submit my info. I will be waiting to see how it goes for you though. I hope everything goes well for you and I know it's got to be hard waiting to find out. Best of luck!

["AmyRose" 2]

Everyone has a nurse on their case they are the ones who say yes or no. I have Aetna too. I was just told 3 more months of diet after i have done everything that they wanted in the first place.

[Megda06 1]

Everyone has a nurse on their case they are the ones who say yes or no. I have Aetna too. I was just told 3 more months of diet after i have done everything that they wanted in the first place.

oh I bet that was hard to hear. I was worried about Aetna doing the same to me. Well I hope your next 3 months goes well. I'll find out next month if I'm approved or not.

[Jewel28 5]

I have Aetna also, and my paperwork was submitted last week. I called today and was told that my file was pending. Idk what that means, has anyone even looked at, I'm guessing not. Hopefully I'll hear something soon.

[NY Bandster 1]

Approved!!! I'm so excited. It only took 5 days! I wish the same for everyone else that is WAITING.... So stressful!

I have Aetna also, and my paperwork was submitted last week. I called today and was told that my file was pending. Idk what that means, has anyone even looked at, I'm guessing not. Hopefully I'll hear something soon.

[Megda06 1]

Congratulations! :-)

[Jewel28 5]

I'm about a few days late on this but I called my insurance company on Thursday of last week and sure enough I'm approved!!! I'm so excited and I just can't hide it whoop whoop lol! Now I'm waiting on my surgery date!

[dropsizes 2]

Hi,

All of my paperwork was submitted to Aetna last week. I called today to find out if it was reviewed yet and I was told that it is still under review and that within 48 hours a Nurse would be assigned to my case. I'm hoping that this means that it is looking good. Has anyone ever had a denial from Aetna and had a Nurse assigned to them or do you get the nurse when you are approved. This waiting is so stressful!!!! This decision will be so life changing for me.

Thanks everyone!!

Hello NY,

I too have Aetna and I have to say that the nurse I have is so very good. The Aetna nurse makes sure you have good support help's before and after your Op. They make sure You!! know what your rights are in the hospital and your after care.

At first I was I do not need a nurse but believe me they are very handy to have and will help you every step of the way.

Best of the luck.

Mary

[girly831 8]

I also have Aetna, but was denied. I am appealing, but wasn't told anything about a nurse handling my case. When I call the reps are not helpful at all. I faxed my appeal to the expedited line and left a message 3 times now with no response. They are supposed to let you know within 72 hrs. This is really stressful and I am praying they approve me. I was scheduled for August 10.

Approved!!! I'm so excited. It only took 5 days! I wish the same for everyone else that is WAITING.... So stressful!

[cunner 21]

Congratulations to everyone that was approved.

I have Aetna and was denied. the denial was uphelp in the first and second level appeal by Aetna. It was so stressful.

The final appeal is an independent external review process. This is where the decision goes out to an independent doctor not associated with the insurance company who will decide based upon the information provided if the patient meets the standards published by NIH and other medical groups. Mine did and the decision by Aetna was overturned. The entire process took almost 10 months and was SO stressful.

All of my appeals were done with the help of http://www.obesitylaw.com

It cost me nothing and Kelley is the BEST !! She called me 2 days before I was going to Disney to tell me the good news. She even offered to give me passes to Disneyland that they use to take out the employees in the office each year. Unfortunately I was going to Disney World in FL so I couldn't use the passes. She was so nice I decided I would tell everyone who was having issues with approval about them. They provide an awesome service to people who could really use help. I believe her husband Walter had both Gastric bypass and a Lapband revision later on.

Good Luck to anyone having to deal with Aetna.

[NY Bandster 1]

Congrats!!!

I'm about a few days late on this but I called my insurance company on Thursday of last week and sure enough I'm approved!!! I'm so excited and I just can't hide it whoop whoop lol! Now I'm waiting on my surgery date!

[NY Bandster 1]

I wish you luck! Keep us posted!!

I also have Aetna, but was denied. I am appealing, but wasn't told anything about a nurse handling my case. When I call the reps are not helpful at all. I faxed my appeal to the expedited line and left a message 3 times now with no response. They are supposed to let you know within 72 hrs. This is really stressful and I am praying they approve me. I was scheduled for August 10.

Approved!!! I'm so excited. It only took 5 days! I wish the same for everyone else that is WAITING.... So stressful!

[NY Bandster 1]

Thanks for the info!!! I'm sure the people that get denied can use a little help!!

Congratulations to everyone that was approved.

I have Aetna and was denied. the denial was uphelp in the first and second level appeal by Aetna. It was so stressful.

The final appeal is an independent external review process. This is where the decision goes out to an independent doctor not associated with the insurance company who will decide based upon the information provided if the patient meets the standards published by NIH and other medical groups. Mine did and the decision by Aetna was overturned. The entire process took almost 10 months and was SO stressful.

All of my appeals were done with the help of http://www.obesitylaw.com

It cost me nothing and Kelley is the BEST !! She called me 2 days before I was going to Disney to tell me the good news. She even offered to give me passes to Disneyland that they use to take out the employees in the office each year. Unfortunately I was going to Disney World in FL so I couldn't use the passes. She was so nice I decided I would tell everyone who was having issues with approval about them. They provide an awesome service to people who could really use help. I believe her husband Walter had both Gastric bypass and a Lapband revision later on.

Good Luck to anyone having to deal with Aetna.