Aetna Insurance Coverage

pbrown · May 23, 2006

Hi,

Has anyone had trouble getting approval by Aetna for the band surgery?

I have a BMI of 38.4 and have a bulging disk in my back which I have received therapy for over 3month period on two different occassions. My surgeon suspects some sleep apnea. I have Migraines that I see a neurologist for and edema in my feet and ankles if I sit too long.

I have been overweight for more than 5 years. Tried phen phen and lost 50-60 lbs. eight years ago , but then they took it off the market and I had to quit it and over the years my weight came back plus 20-25 lbs. more.

Then the doctor tried me on phentermine alone and it did nothing. Prior to all that I had done Weight Watchers with little success. I need to lose the weight as I have a family history of type 2 diabetes, which my mom has currently and she has had this for 30 years as she is 83 now. Wonder if this is enough info for them to consider me for coverage.

I have seen the surgeon that would do the banding and have done all of the pre-op testing and will finish the last psyc. appointment today. So soon they will send this and all my medical records to Aetna as I have a surgery date for June 8th.

Hope that they have all the infor they need and I will let the dr. office submit the letter etc.

pbrown