roriep 23 Posted May 22, 2012 I have a Bmi of 35. Aetna requires a co morbid condition for a BMI under 40. I have to show a weight for 2 years but do I also have to show the co morbid condition for 2 years? I have high blood pressure but I haven't had it for 2 years. I'm scared because I have done everything including the weight management class. Im scared I will be in vain. Anyone know if u can still be approved if ur co morbid condition is not 2 years old? Share this post Link to post Share on other sites
BenisaMartim4 369 Posted May 22, 2012 I don't know (because I don't have that insurance), but I would thinks so. It shows a decline in your health condition due to the weight. Share this post Link to post Share on other sites
favoredone 590 Posted May 22, 2012 WOW.. I don't know.. sorry.. maybe you can call and ask them?? Do they have any explanations on their website?? Share this post Link to post Share on other sites
Bypassjourney 88 Posted May 22, 2012 I have Aetna. I had the sleep study done in September, 2011 and was diagnosed with sleep apnea. I did not have any other co-morbidities so I did not have two years worth of documentation on that. I did have the two years weight history. I completed my three month nutrition program in December. I was approved within two weeks and had surgery on 1/30. Share this post Link to post Share on other sites
FatGirlSlim 115 Posted May 22, 2012 that sounds like the guidelines of Kaiser through feds... it sucks but I didnt get approved because it was not two years and I didnt have 2 comorbidities... issurances are evil Share this post Link to post Share on other sites
emily_0192010 168 Posted May 22, 2012 I have a Bmi of 35. Aetna requires a co morbid condition for a BMI under 40. I have to show a weight for 2 years but do I also have to show the co morbid condition for 2 years? I have high blood pressure but I haven't had it for 2 years. I'm scared because I have done everything including the weight management class. Im scared I will be in vain. Anyone know if u can still be approved if ur co morbid condition is not 2 years old? I don't believe you have to have had the co-morbidity for 2+years. I didn't have to worry about this as my BMI was way over 40, but it wouldn't make sense for you to have to have the problem that long before surgery is allowed. Please don't be scared or worried that it will be in vain. It would suck if you were denied, but then you will appeal it and you will fight for it! This whole process is a learning experience and will never have been in vain. If they deny you this year, keep doing it until you get it. I will say, based on what you've provided, I don't think they will deny you. Good luck! Share this post Link to post Share on other sites
daedreams 1 Posted May 22, 2012 Seven years ago i jumped thru all the hoops and was still denied for the lap band. On June 25th, 2012 I will be having a sleeve done with Dr. Garcia. I was greatly hurt when i was denied but am grateful I am not having to live with a lap band. Glad to be joining the sleevers soon. I believe now it happened for a reason. 1 Amytequilahouse reacted to this Share this post Link to post Share on other sites
Amytequilahouse 184 Posted May 22, 2012 Seven years ago i jumped thru all the hoops and was still denied for the lap band. On June 25th' date=' 2012I will be having a sleeve done with Dr. Garcia. I was greatly hurt when i was denied but am grateful I am not having to live with a lap band. Glad to be joining the sleevers soon. I believe now it happened for a reason.[/quote'] Yes!! Everything does happen for a reason !! My insurance didn't cover LapBand back in 09 but I'm doing a self pay for the Sleeve. I know this is for me. Share this post Link to post Share on other sites
anais02 8 Posted May 29, 2012 How nice, I am a June 25 with Dr. Garcia 1 daedreams reacted to this Share this post Link to post Share on other sites