Aetna

[lpoteetrn 7]

Has anyone on here delt with Aetna Insurance? They require a bmi of 35 and 2 comorbidities. I have 3 of the major comorbidities but my bmi is only 35.3. I have had my first appointment with the surgeon, first nutrition consult and my psych eval is next week. I am very nervous about approval. Any input would be much appreciated!

[50for50 72]

10 months ago when I started the approval process my Aetna policy required a BMI of 40 or 35 w co morbidities AND 6 months of a medically supervised diet. I completed the 6 months and I had a 40 and high blood pressure. Aetna denied me twice - the first time saying my blood pressure was controlled so it wasn't medically necessary. The 2nd time, on appeal, because they said I couldn't document 3 years of being obese. My Dr scheduled a "peer to peer" review next. Inexplicably they reversed their decision a few days before the scheduled review. No problems since then. Moral of the story is to persevere - they hope you go away if they throw obstacles in your way.

[lpoteetrn 7]

Thanks! I have read the claus set forth by my employer and I didn't see anything about 3 years of maintaining that bmi, also, I only have 4 months to wait. I know several people at my job who have been approved. Jeeez! This is so very nervewracking!!!

[Maddysgram 6,159]

I have Aetna too and I had the same bmi & comobilities requirements.

I had to do 6mth supervised diet, psych eval, nut class and had to have 5yrs. of high bmi, which I had with PCP.

Within one week of final 6mth visit, I was approved for surgery.

[nikkicp 8]

Has anyone on here delt with Aetna Insurance? They require a bmi of 35 and 2 comorbidities. I have 3 of the major comorbidities but my bmi is only 35.3. I have had my first appointment with the surgeon' date=' first nutrition consult and my psych eval is next week. I am very nervous about approval. Any input would be much appreciated![/quote']

I have Aetna and I went through 6 months dietitian and a phsyc eval had to get a written ok from my family doctor an was approved in march of this year had my surgery on April 1st and have lost almost 30 lbs already I was at 255when I started all of this and am down to 225 just do everything Aetna asks you to do and you shouldn't have a problem