Aetna Weight History Question

[ozzy22 0]

Hi, this is my very first post. I have been lurking on here for a little over a month now. I know there have been many threads created about Aetna weight history, but I can't find any answers to my question.

Aetna requires you to have a documented BMI over 40 for the LAST two years. I have medical records of a BMI over 40 for 2010 and 2009. Does anyone know if Aetna considers the LAST two years to be 2010 and 2009?? Or do you think I need medical records for 2008 (becuase I don't have those).

Any feedback will help. I have Aetna Aexcel Plus Choice POS2

[ozzy22 0]

And if this is any help, once I jump through all my hoops I SHOULD be able to get my surgery in January or February 2011.

[DougNichols 124]

Your last two years would be the day of your application - 2 years?

So 01/2009 - 01/2011 ?

[ozzy22 0]

I really have absolutely no idea how this works! Some people are saying I should have 2008 also, but I don't have any records at ALL for 2008. But I mean, once I jump through ALL my hoops and do my 3 month supervised nutrition/exercise program and all the other doctors visits, I'm pretty sure all my information will be sent to my insurance company for approval in January 2011.

[Lila21 36]

I really have absolutely no idea how this works! Some people are saying I should have 2008 also, but I don't have any records at ALL for 2008. But I mean, once I jump through ALL my hoops and do my 3 month supervised nutrition/exercise program and all the other doctors visits, I'm pretty sure all my information will be sent to my insurance company for approval in January 2011.

I don't know if it's the same for Aetna, but for UHC, they wanted records starting with LAST year (meaning this year --2010 --does NOT count). So, I had to give them records from 2009, 2008, etc.

[Darma2011 1]

I also have Aetna but are you sure our bmi had to be at 40 these past 2 yrs to get approved. I'm at 41bmi now but was below 40 in 2009. I'm looking to have my surgery in January 2011.

[6kiddos 18]

I sent in ONE appt for 2008, gym record for 2009, and the 6 mo diet for 2010. I was approved with no problem other than they want it to be outpatient.

[vanishingvixen 40]

I have Aena insurance, and i started the process in March 2010, with a surgery date of Sept 2010. My two years went back to 2008. Ironically, I was pregnant and a new mom during the 2 years, so it was easy for me to get a complete weight history (and some pretty cruel obesity-related doctor's notes too *sigh*)

I think they consider the 2 year history from the date the pre-approval process was implemented...