Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Impatient And Annoyed!! Aetna...vent



Recommended Posts

Ok so here's my story...I met with my surgeon originally back in January submited paperwork and then found out I was going to have to jump through a bunch of hoops to get approved. Six month medically supervised diet, psych eval, nutritional eval, egd...ect ect. Well I got discoraged and didn't start the six month diet until April...managed to get back on track and get everything done. Last PCP appointment was 10/22...after both offices sitting on my paperwork everything finally got submitted to insurance on 11/9. Well I have been (not so) patiently awaiting a decision when I get a phone call this morning from my surgeon's office. Aetna has now requested a 2 year weight history that they did not ask for before!! ARGH!!! So I spent this morning on the phone with dr's offices, picked up said records and faxed them to my surgeon's office. I even called to make sure they received the fax and was assured it had been received and was being faxed immediately to the at Aetna who is handling my case. Well I decide to call Aetna a few minutes ago to make sure they have received the additional information and they say they haven't!!! I was really hoping to get approved/scheduled before the end of the year as I have met all deductables for the year......sorry so long just needed to vent!

Share this post


Link to post
Share on other sites

I'm sorry you're having so many issues with Aetna. I have them as well and just started my 6 month supervised diet. Best of luck to you, I'm sure everything will work out in the end!

Share this post


Link to post
Share on other sites

Don't give up yet. I have Aetna also and did all the same things you had to do. Once they got all my info it was a week to the day for approval. I too had met my deductible and wanted it done before the end of the year. It makes things tense, but don't give up yet!

Share this post


Link to post
Share on other sites

It seems that harrassment is the only way to get things done with insurance companies. Keep pushing. Good Luck!

Share this post


Link to post
Share on other sites

Perhaps it is the doctor's office you need to be more persistant with and not Aetna. Good luck either way and definitely call back to Aetna tomorrow and make sure they finally received the documents and if not bust out a can of whoop ___, I mean nicely call your doctor's office and be that squeaky wheel. :) Good luck to you!

Share this post


Link to post
Share on other sites

:) Thanks guys....I have absolutely no problem bugging everyone involved until I get an answer! I plan on calling the insurance company again tomorrow and the surgeon's office if need be! Just ready to get this done!

Share this post


Link to post
Share on other sites

I complained to the person that I know who was banded 2 years ago about this long process and this exam and this hoop etc and she just smiled at me and said " it's ok! Because when you finally get the band it will be ALL GOOD" so I hung in there and now I'm banded and guess what.. It's all good!

Started the process in jan 2012. Insurance pre auth was submitted two weeks before surgery on 10/5. The 9 month in between was just a joke!

Hang in there all, it'll all be good!

Share this post


Link to post
Share on other sites

Yes hang in there. You will get it done. I would keep calling them. I dont stop til they do what they are supposed to do.

Share this post


Link to post
Share on other sites

Yay!!!! Just spoke to Aetna and I'm approved!!! Waiting to hear from the dr office now!!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 0 replies
      1. This update has no replies.
    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 1 reply
      1. stevieoriole

        Am feeling this right now. My surgery date is 4/1. Sign the consent tomorrow. I feel like I overloaded myself with too much info, too many opinions. Got to the point where I was wondering if I should do this. Then I thought of my reasons for taking this step and that settled my nerves. Still get moments of doubt but am striving forward. Am just going to follow my book from the surgeon. Joined this because I was told by my dietician that I should do this for support

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×