Aetna PPO

[Browneyedsouljah 5]

My surgeons office said Aetna PPO was one of the easiest insurance companies to work with. My PCP doctor is linked with the same hospital and place as the surgeon so they are able to see everything my PCP has done to get me healthy in the past two years. I meet the BMI requirements for the past 2 years, but i am worried about the three month thing. I have been seeing my doctor but we address all issues not just weight. I have proposed many plans but she gives me an alternative and I go with that versus the latest fad dieting. I have been doing this for beyond 3 months but they need to see three months. I guess I can start from the initial day she reffered me and move forward from there. I would like to be sleeved at the end of June. Does it sound like I ma on the right track?

[emily_0192010 168]

I'm not sure about the three-month thing. I also have Aetna... for us I believe it is 3 month supervised OR a "Multidisciplinary surgical preparatory regimen" which my surgeon does anyways. But, do you know if Aetna covers the band? I seem to be getting mixed signals from them. I read somewhere that they will approve the band or bypass and then sleeve if you don't qualify for bypass because it is "experimental"...

As for your three-month thing. If you have been seeing your PCP for that long and they have been keeping thorough documentation I don't see why that wouldn't work for Aetna. They do seem to be pretty lax about that.

Good luck!

[Bryn 3]

I have aetna PPO and I just saw my pcp three months (mind you they were not consecutive ). But I saw her an extra month related to something else.

I was approved first try and fairly fast. They Just wanted the basics, but my surgeon wanted more so it all worked out. And by the way, I didn't see a psych for my eval, I saw a social worker who evaluated me and it was sufficient. Only $100 and less than 30 minute meeting