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When Can I Submit Documents For Gastric Sleeve Surgery Approval?



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Hi Everyone,

I had my psych eval yesterday. The Dr. and I talked for about 30-40 minutes about my social, family and medical history. He said that I was fine and that I would do very well with the surgery.

So far I am 1/2 through my 4th month of the 6 month doc/dietitian supervised diet and exercise program that Cigna requires. I already have my appointment scheduled for my 5th month visit in January. So that puts February as my 6th month. I do my appointments the 1st week of the month. Does anyone know how soon after my last appointment the surgery request documents can be sent in for approval? Do I have to wait till the end of the month or can they be sent in after my last appointment with the GP and Dietitian?

Thanks!

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With my insurance, once the requirements were met the file could be sent in. I was able to send 2 items in early -the psych eval and the five year weight history. They told to wait and send everything else in at one time.

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I had to go through the three month doctor pre-surgical appointments with Aetna. My last appointment was on Thursday, 12/22. I had everything done at that point and the insurance coordinator at the doctor's office sent everything in on that day. I called Aetna today and they confirmed that their precert department has received everything and is beginning the review process. I have been told by the insurance coordinator and the insurance company that I will get the approval (I am thinking positive and wont accept a denial could be a possibility smile.png) within 15 days. I am counting down the days until I get the call!

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