Approval Process Stories

[ireallywannabthin 286]

For those of you who already had the surgery or were approved for the surgery, would you mind sharing your story of the approval process? I haven't even attended my first seminar yet (it's on Nov. 15) but I'd just like to get a better feel for the process. thanks so much!

-Jennifer

[FLORIDAYS 3,040]

I am hoping you wont have this issue but Mine was simple. I was denied by Aetna even tho I needed to lose over 200 lbs and had a BMI of 55. I guess because I had no other comorbidalities I wasn't sick enough to warrant the surgery. Never mind I was a heart attack waiting to happen.

So I got creative, negotiated a cash price with the hospital and went out on a limb and became a self pay. I think I would have been successful either way but it would have been nice to have used some of the insurance benefits I have been paying into forever.

Hopefully you will have a better story to tell us soon.

[ireallywannabthin 286]

I am hoping you wont have this issue but Mine was simple. I was denied by Aetna even tho I needed to lose over 200 lbs and had a BMI of 55. I guess because I had no other comorbidalities I wasn't sick enough to warrant the surgery. Never mind I was a heart attack waiting to happen.

So I got creative' date=' negotiated a cash price with the hospital and went out on a limb and became a self pay. I think I would have been successful either way but it would have been nice to have used some of the insurance benefits I have been paying into forever.

Hopefully you will have a better story to tell us soon.[/quote']

Oh wow! I'm shocked you were denied! That's my biggest worry- although I have I have 100lbs to lose, I don't have any other related health conditions. How long did it take to hear from your insurance?

[ivyh 96]

I went to my seminar in July had to do a 3 month diet for my insurance. Got my approval today and surgery is Dec 13th! Good luck!

[ireallywannabthin 286]

Wow!! Good luck!!!! That's awesome!! Cogratulations!

[Beckysue 3]

I have Aetna and I have just finished the six month supervised weight loss. I am 5'3" and weigh 210 pounds I have pre diabetes, high cholesterol and slightly high blood pressure. I am waiting for Aetnas yeah or neah. Papers were submitted November 1st and insurance said it can take 7-14 days for answer.

[CaGottaBand 498]

I have Aetna and I have just finished the six month supervised weight loss. I am 5'3" and weigh 210 pounds I have pre diabetes, high cholesterol and slightly high blood pressure. I am waiting for Aetnas yeah or neah. Papers were submitted November 1st and insurance said it can take 7-14 days for answer.

Good luck! I have Aetna as well and just started my 6 month diet. I am 5'4", 254 pounds and also have high blood pressure and cholesterol. I'm hoping that they will approve me in the end. **fingers crossed**

[ivyh 96]

Good luck to y'all i also have aetna my papers were submitted last Wednesday and I called everyday to check.

[ireallywannabthin 286]

Lots of luck to you all! My insurance company wasn't sure if I had to do 3 or 6 months if at all do ill talk to my potential surgeon I guess. Thank you all for sharing!!

[Blondie638 98]

I have uhc and they require a 5 year medical recorded weight of 1 each year from a physicians office. Well since I didn't visit the doctors office In 2007 and 2008 I don't have a recorded weight for that year. Now I need to wait till 2014 to even submit my ppwk to insurance. So it's not an approval story........... Yet! Lol

[Beckysue 3]

I called Aetna today ( paper sent to them on the 31st) its still in review. They said a nurse still has to look at it. They told me they have 14 days. So I guess I'll know by Tuesday.