Aetna Question!

[Mandylove 32]

I am in the process of getting approval with Aetna. My doctor told me stay confident that I will get approval but I was curious about one thing. I currently have a 40.5 BMI and meet all the requirements for my doctor. My one concern is that they require a 2-year of BMI history of being over weight. Do you have to have a 2 year weight history of a BMI over 40 or just an overweight BMI?? Over the past two years I have gained about 40 lbs due to a thyroid problem, which in turn makes it much harder to loose weight. Some of my weights from 2010 and 2011 only show a 33-34 BMI. Do you think this will keep me back from getting approval? Any feedback from others who have been approved by Aetna would be greatly appreciated!!!

Thank you in advance!

-Mandy

[Sojourner 2,446]

It's difficult to say...I had to submit 3 years of medical records, most of which of that time I did not even have my weight recorded. They placed alot of "weight" (please excuse the play on words...) on my physician's letter of medical necessity which stated that my weight issues had been present and steadily have gotten worse during the time he has been my doctor (around 9 years).

Do you have any weight related comorbidities? When I was approved by Aetna for my surgery, my BMI was under 40, however I had several weight related comorbidities.

[sandra07 17]

I got Aetna also and after my paper work was submitted they approved my surgery in less than 4 hrs! They can get your weight history with your primary doctor! My surgeon ask my physician to write a letter saying that she recommended me to have the surgery, I also needed to provide a list of all the diets I did how many pounds I lost and how many pounds I re gain! I was really surprise of how quick they approved me! Good luck

Sent from my iPad using LapBandTalk

[Bubie1916 59]

I hope you get approve, Aetna takes about close to 30 days to get back to you. They want two years of a BMI exceeding 40 or 40 with commorbolities. But you never you may be lucky and get approved with your first submitted. Keep us posted! Good luck!!!

[sandra07 17]

I hope you get approve' date=' Aetna takes about close to 30 days to get back to you. They want two years of a BMI exceeding 40 or 40 with commorbolities. But you never you may be lucky and get approved with your first submitted. Keep us posted! Good luck!!![/quote']

I guess all depends on the plan I got ppo aexcel and after all my paperwork was submitted I got approved in less than 4 hrs!

Sent from my iPad using LapBandTalk

[Bubie1916 59]

I guess all depends on the plan I got ppo aexcel and after all my paperwork was submitted I got approved in less than 4 hrs!

Sent from my iPad using LapBandTalk

That is great! What was your BMI and did u have iny commorbilities?

[sandra07 17]

That is great! What was your BMI and did u have iny commorbilities?

BMI 44 and no health issues at all except my BMI Lol

Sent from my iPad using LapBandTalk

[smalltown 15]

It didn't take 30 days for me to here back bet with that high of bmi u won't have any problems