Where is it stated?? Aetna question...

[peatie 4]

Where exactly does it state Aetna wants a weight history?? I have my copy of Bariatric Surgery criteria and I don't see ANYTHING which asks for weight history.

Can someone shed light on this? I'm only hearing about this requirement on the forums, not in my paperwork.

thanks!

[DougNichols 124]

It was on the requirements given to me by my surgeon. Here's their page:

Obesity Surgery

[peatie 4]

I have that same page and combed it. This is all i can find:

presence of severe obesity that has persisted for at least the last 2 years (24 months)

and in the 'background' section, this:

Requirement that Obesity be Longstanding (Present for 2 or More Years):

Obesity surgery is not indicated for persons with transient increases in weight (Collazo-Clavell, 1999). According to the Guidelines of the American Association of Clinical Endocrinologists and the American College of Endocrinology (1998), “Surgical treatment of obesity may be considered only in carefully selected patients [where] … obesity has been present for at least 5 years.”

So...... ???? History, yea or nea?

Doug, how many years did your Dr say?

[DougNichols 124]

Doug, how many years did your Dr say?

History is required for mine. I got a little happy sheet from the surgeon's office that says, "Medical records that document a 2-year history of obesity ..."

And they gave me a waiver to obtain doctor records from my PCP for the past 3 years.

[peatie 4]

Yesterday my Dr said Aetna didn't ask for weight history as a requirement, but all their other patients w/Aetna were required to provide a 5 yr history. I ended up gathering all my own medical records (ran around to the various places and got copies for myself) and gave my Dr the copies that indicated weights from 2007 on.

I'm sure it's adequate but until I see their big 'approval' stamp i'm cautiously optimistic. :thumbup1:

[coreyandbrett 0]

I use to have Aetna and they required alot of stuff that my new insurance doesn't. I hope you get this worked out, keep us posted!!

[lisabug 10]

I called aetna about that also. They said it is not required by my employer so I do not have to have it.