Please Read-aetna Denied My Gastric Sleeve -help!

[Twndr3 1]

So I was supposed to have my surgery the day before Thanksgiving, November 23, 2011. The doctor's office just called at 6:15 pm and told me that the insurance company denied my surgery because my BMI was not over 40 for two years. My BMI is now over 40, but they said that they needed to see that for 2 years. I am so devastated that I just cried! Is there any hope in me appealing this? I hate Aetna!

[time2liveagain 2]

So sorry to hear that Twndr3, do you have any comorbidities such as hi blood pressure, sleep apnea, diabetes?? I would still appeal it either way and stress your need for this surgery.

[Becca 108]

I would try to appeal. I am so sorry. Don't give up!

[Twndr3 1]

Thanks ladies for the advice! Guess what??? Today my surgeon called the head of Aetna and the overturned the denial!!!! I am getting my surgery Friday November 25, 2011 at 6:15 in the morning!

[gfawcetti 13]

Congrats!! What an awesome Dr you have!! You truly have things to be thankful for the Thanksgiving!

G

[time2liveagain 2]

Great news. My dr also said that if they deny me, he will appeal for me too. So I'm trying not to panic while I wait. I'm hoping for late January or early February.

[100%Sleeved 148]

Congrats. Maybe that was God's way of allowing you to enjoy Thanksgiving with your family. Im so happy for you!

[favoredone 590]

Awesome news!!!!

[NJsharon 119]

Hi I am new to this board & hoping to get gastric sleeve surgery & have Aetna.

I wondered if you had any other comorbidities or if you did manage to get Aetna to approve it without that?

You can PM or e-mail me if you prefer! I wish you lots of luck & congrats on getting the approval!