Did I miss something?

[Neoteric Verve 65]

Ok. I went to my nutrition class Thursday. While there the office manager said she sent my file for approval already. Why?!

You see in my signature line all that I have completed. I thought I had two each of nutrition counseling and support groups to go. I don't wanna take chances with Aetna. What if I get denied? Why bother submitting now? It works if I get approved and fails miserably if I dont. The only things not in my signature line are my several years of documented weight and exercise discussions with my PCP.

What should I do? Sit and wait?

[Foxbins 625]

Your ticker says you weigh 431. I doubt that Aetna will deny you at that weight, especially with a documented failure of weight loss attempts. I'd rest easy if I were you.

[ccbcdeke 11]

trust your doctors office. this is what they do.they are there to help you get approved. If this is when they think you can get approved, then roll with it.

[Texasmom65 23]

I agree with Jim. Your doctors office has been doing this a long time. They know what the insurance is wanting/needing. Even if you were denied, they will tell you what else they want and its as simple as appealing with the new info. I'm sure you will be fine. Good Luck.

[Neoteric Verve 65]

I am still nervous, The anxiety is tortuous. I was at 431 and now I am about 415. my goal is to hit 400 or less by surgery time. I thought I'd have a while to go. I hope that even at 415 Aetna doesn't think this is just a cosmetic procedure. Insurance companies can be very fickle.

[Foxbins 625]

Sweetie, unless you are 10 feet tall, 415 is morbidly obese. This is not a cosmetic procedure for you.

[Neoteric Verve 65]

You are 100% correct. I get spooked when I read on here how insurance companies (Aetna and all the BCBS' in particular) are so anti-approval. I'm not quite 10 feet tall so Aetna better shape up, fly right and approve my arse (and my stomach)!!!

[SeattleSue 25]

You are 100% correct. I get spooked when I read on here how insurance companies (Aetna and all the BCBS' in particular) are so anti-approval. I'm not quite 10 feet tall so Aetna better shape up, fly right and approve my arse (and my stomach)!!!

*snort* Where is my emoticon for that!!?

[Amanda131 214]

N2B8R-

I don't know about anyone else, but I had Aetna and they were a dream. I was approved in less than three days. They never even hesitated to cover my surgery once I completed the 3 Nutrition visits, 3 Dr. visits and Pysch consult in the 90 day period. I was thoroghly impressed with how they handled my case. My BMI wasn't crazy high (44) and I had no co-morbidities other than slight sleep apnea.

I hope your insurance experience is as awesome as mine was!

Amanda

[Neoteric Verve 65]

Well in that scenario that would be about right. But my surgeon's office submitted with a doctor visit, one nutrition counseling, labs, weight history of 4 years, psych Eval, sleep study and PCP letter. In addition, my BMI is over 50 but no comorbidities.