Low Bmi ....insurance Approval ....anyone In The Same Boat?

[shel624 8]

I'm in ocean county too. Jackson area. I have aetna and they denied my sleep study. What r the chances of getting approved for the lapband? Getting very discouraged.

[shel624 8]

I'm in ocean county too. Jackson area. I have aetna and they denied my sleep study. What r the chances of getting approved for the lapband? Getting very discouraged.

[JuicyJ 0]

Is there anyone who know if Healthlink pays for lapband?

[AnnLouise 7]

I have Aetna and live in NJ. Please refer to Aetna or your insurance carriers specific policy regarding bariatric surgery. Aetna is policy 157. It is very strict. You can find it on their website. BMI has to be 35 with comorbidities. I have been denied for hypertension because it has to be uncontrolled and require 3 different meds! Wow.

Sooo discouraged.

[AnnLouise 7]

Update! My surgeon and primary physician went to "peer review" with Aetna's medical director and won! The secretary in the office told me that Aetna denies some 40% of patients. Keep your head up! I am sheduled wed Oct 10.

[shel624 8]

Congratulations!! Best of luck to you. I have my final appointment tomorrow and then it goes in for approval with Aetna. Fingers crossed!!

[Daisy1244 36]

Don't know how it happened but I got approved and I have the letter to prove it!!!! Yea!!!

[AnnLouise 7]

Congratulations and best of luck and good health!b

[shel624 8]

So happy for you Daisy1244!!

[Toniburgess20 0]

My BMI is 37.59 I have United Healthcare with no medical issues, I'm very borderline!

[lori81 0]

If one doesn't have insurance... How much is this surgery?? I live in Syracuse, NY