Anyone with Aetna????

[rockdutchess82 2]

Anyone have Aetna insurance with 4 month wait and 3yr proof of 40 BMI ? If so did they put you through the ringer or were they cooperative...i just don't want to be all geeked up and the big insurance company try to throw a wrench in it to save their big pockets

[FLORIDAYS 3,040]

Well I have Aetna... And they didn't cover a dime ... My BMI was 55, borderline high BP but no meds..so I wasnt qualified...

But that didn't stop me!!!

[rockdutchess82 2]

Wow... did the company call them and ask and they said no initially? TRUE RESULTS. Called and said they covered it? How long ago did they send you a notice love?

[Instyle98 240]

I have Aetna. I'm scheduled for surgery with True Results on Monday. According to them I only owe around $1200.

[FFP 10]

I did the 4 month with below 40 BMI and a co-morbid condition. I was refused the first time and the second but my doctor really pushed. I was finally approved on Christmas Eve and had my band put in a couple of days ago. I decided to go for it because my daughter had a leg operation this year and I had a bladder lift so we met our out of pocket. This surgery was free. I told my doctor I couldn't have it if I had to pay the deductibles, etc. and his office fought very hard for me.

I had to submit tons of blood work, chest x-ray and other stuff but it all got in and I'm down 2 pounds since surgery already.

Good luck.

[Instyle98 240]

Mine approved me the first time and actually called me twice because they thought I already had the surgery! They called me after it was approved and I told them no, I was not scheduled yet (due to other stuff), then I was scheduled for 12/17 and they called shortly after that so I expect to hear from them right after the first of January since I'm scheduled for New Year's Eve day. They were very nice and just wanted to know how I was doing and how the staff at the center was.

[taaa24 1]

i have aetna. they will not cover anything. they say its cosmetic. i weight over 300 and a bmi 55. working on other methods of payments. i go see the dr. on the 9th of jan. see what he has to say. ive got all the letters from my doctors and all the paper work done. good luck with your surgery.

[LLCoolNoe 25]

They covered me. I ended up owing about 1300 out of pocket...they covered the rest.

[brendon5 0]

I called AETNA and they said with my plan, if its medical necessity, its covered.

[rockdutchess82 2]

The insurance said they cover 50 percent when they talk to the true results Center they said they covered 100 percent pending I meet the criteria. I hope they are right I guess it is better to let the specialist talk to the insurance company

[poohda04 0]

How did you all get atena to pay

[Instyle98 240]

They're still processing my claim since I just had my surgery 12/31. They had some requirements such as a 4 month wait period where I had to have 2 nutritionist appointments, psychological evaluation, blood work and a 2 year history of obesity. I let the surgery center handle getting the procedure authorized.

[CaGottaBand 498]

I have Aetna. They cover 90%. I had to provide 3 years of medical records, complete a six month supervized diet, meet with a psychiatrist, and meet with a nutritionist before I can be submitted for approval. I am currently half way through the six months.

And very, very hopeful that I will be approved.

[poohda04 0]

If you live in ga they will not cover it not even if it is medically needed you have to be living in texas or either cala

[buckeyegirl4 19]

I have Aetna and I was told I had coverage up to 90%. I have been in therapy for over a year (on my own). I also have been working with a diet center too. I am PRAYING that will count for something as I just started my journey last week.