angbutler0712 30 Posted November 2, 2011 My bariatric surgery packet was submitted to Aetna last Friday, so 4 business days ago. Waiting for an answer is driving me insane! This is my second round with Aetna.. First time I was denied for gastric bypass, which was really a blessing. I have wanted a band all along, but felt pressured into the bypass. After my failed appeals, I vowed I'd never do this again.. low and behold, here I am a year after my failed attempts. I had to complete a second workup and now I wait. I've read some stories of other people getting approved by insurance while under a 40BMI with "minor" comorbids. Tell me your stories please.. Anyone been approved without the major comorbids and under a 40 BMI? I am a 38-39 BMI with osteoarthritis, GERD, non medicated high blood pressure and atrial tachycardia (A fib, not heart disease) bad joint pain and depression. Aetna definitely has defined severe comorbities.. I'm just hoping they see that I have enough minor ones to approve me. Ugh.. I pray that they call me soon to set my mind at ease! Share this post Link to post Share on other sites
Dawn200321 146 Posted November 2, 2011 Good Luck! I was approved with Aetna on the first run but I had a BMI of over 40 and high blood pressure. Share this post Link to post Share on other sites
foundmywaist 0 Posted November 4, 2011 My bariatric surgery packet was submitted to Aetna last Friday, so 4 business days ago. Waiting for an answer is driving me insane! This is my second round with Aetna.. First time I was denied for gastric bypass, which was really a blessing. I have wanted a band all along, but felt pressured into the bypass. After my failed appeals, I vowed I'd never do this again.. low and behold, here I am a year after my failed attempts. I had to complete a second workup and now I wait. I've read some stories of other people getting approved by insurance while under a 40BMI with "minor" comorbids. Tell me your stories please.. Anyone been approved without the major comorbids and under a 40 BMI? I am a 38-39 BMI with osteoarthritis, GERD, non medicated high blood pressure and atrial tachycardia (A fib, not heart disease) bad joint pain and depression. Aetna definitely has defined severe comorbities.. I'm just hoping they see that I have enough minor ones to approve me. Ugh.. I pray that they call me soon to set my mind at ease! Yes! you can get approved I did, asthma (prednisone dependent), high blood pressure (on two medications), and numerous attempts to lose weight through diet and exercise. All of the above documented by my doctors and my doctors wrote letters to my insurance company. I have a friend who used ankle weights under her jeans to weigh in at a 40 bmi. She did not have any other health problems and her insurance refused her the first time. Where theres a will theres a way! hang in there and best of luck to you. Share this post Link to post Share on other sites
MrsRobinson 10 Posted November 6, 2011 I am waiting with you mine was submitted on Fri also. Will you let me know when yours is approved or denied???? Thanks Lisa My bariatric surgery packet was submitted to Aetna last Friday, so 4 business days ago. Waiting for an answer is driving me insane! This is my second round with Aetna.. First time I was denied for gastric bypass, which was really a blessing. I have wanted a band all along, but felt pressured into the bypass. After my failed appeals, I vowed I'd never do this again.. low and behold, here I am a year after my failed attempts. I had to complete a second workup and now I wait. I've read some stories of other people getting approved by insurance while under a 40BMI with "minor" comorbids. Tell me your stories please.. Anyone been approved without the major comorbids and under a 40 BMI? I am a 38-39 BMI with osteoarthritis, GERD, non medicated high blood pressure and atrial tachycardia (A fib, not heart disease) bad joint pain and depression. Aetna definitely has defined severe comorbities.. I'm just hoping they see that I have enough minor ones to approve me. Ugh.. I pray that they call me soon to set my mind at ease! Share this post Link to post Share on other sites