Anyone Have Aetna?

[JillDisney 11]

Best of luck. You will be happy you did it, though it is different then I thought.

[JillDisney 11]

I have Aetna. I started the process in June of 201i & was banded Dec 2011. Same hoops. Dietician, nutritionist, psych., then I was sent for a bunch of preop stuff, then a cardio because of something on my ECG, etc.... Sometimes it takes a while to apt. Etc... Worth the wait. They paid for everything. I'm in California. Oh, I have sleep apnea, so that may have helped me qualify. I'm also pretty big, but 53 lbs less big.

[kbee2599 0]

I had Aetna POS II when I had my surgery. It was covered completely except for my co-pay. I didn't have a problem with them at all, but I also had a few (more than 3) co-morbidities.

Good luck, I hope they approve your surgery!

[yelorz 9]

Thanks to all of you for the encouragement. I submitted my insurance info to Amanda at True Results in Dallas and, hopefully, she can get them to pay. I have diabetic neuropathy in my legs, sleep apnea, about 140 pounds overweight, and pain in my knees. I'm presently 3 Metaformin a day. It would be wonderful if Aetna would pay. I'll keep ya'll posted.

[KatesinTX08 0]

Kerra,

Can I ask what you did to get started? My doctor has said I am good to go with everything and she will get me anything I need as far as documents etc. I went to see the surgeon, he suggested a sleep apnea test as I currently have a BMI of 35.5 and no comorbidities. What was your BMI? any comorbidities? Anything you can suggest in getting the process started let me know!!!

Thanks so much!!

[Letsdothis 2]

Congrats kerra! I'm also waiting for approval or denial it has been 2 weeks bcbs.

[Amber310 0]

I have Aenta POS II. I go for my last nutritional appt tomorrow then my paperwork will be turned in for approval/denial.... I'm officially nervous!

[KatesinTX08 0]

Amber, How did you go about everything? Is your BMI 40 or more? do you have any comorbidities?

Thanks!

[Amber310 0]

My bmi is 34. I have sleep apnea, chronic gastritis and chronic back pain. I went to my final nutrition appt yesterday my paperwork will be submitted sometime this week. I'm praying all goes well! How about you? Best wishes to all!

[yelorz 9]

Kerra,

Can I ask what you did to get started? My doctor has said I am good to go with everything and she will get me anything I need as far as documents etc. I went to see the surgeon, he suggested a sleep apnea test as I currently have a BMI of 35.5 and no comorbidities. What was your BMI? any comorbidities? Anything you can suggest in getting the process started let me know!!!

Thanks so much!!

I went to my primary physician first and she told me that she'd do whatever she had to do to get my insurance to approve my surgery. However, I have since found out that my insurance plan has an exclusion clause against weight loss surgery. I had my first consultation at True Results last Friday and the PA said he thought that I had a hiatel hernia. I'm scheduled for an endoscopy. If I really do have a hernia, then Aetna will pay for fixing the hernia and they can do the lap band at the same time - in which case I would only have to pay for the lap band part which would be $5500, as opposed to $10,000. Also, I have diabetic neuropathy in my legs and I have sleep apnea. (I had a sleep study done a few years back so that's why I don't have to have another sleep study done.) Even with my co-morbidities, my insurance will not pay for lap band. Every insurance plan is different though. If your surgery center can work with your insurance, you're better off. They know all the loop holes. Best of luck to you!

[TexasSoccerMom 26]

Hey Amber310, let us know how your approval goes. Praying for you!

[CCornell87 35]

I've been kind of nervous about it all too! My husband works for Home Depot and I have Aetna POS II. They require the same 90 pre-surgery requirements that was mentioned in an earlier post...I've got my 4th and final "inter-disciplinary" appointment (The insurance calls it this, but its really a glorified nutritionist thats' Band specific.) on May 10th, then I'll be sent for approval by my insurance before getting a surgery date set. I've been reassured that Aetna is one of the best and they've worked with them extremely well in the past. Surgery should be end of May or early June.