Aetna Weight- Which Weight Is Used?

[SkinnyWannaBe 6]

I have been approved by Aetna (h.m.o.), have gone through further testing (treadmill stress test/ cardiogram), and have a few more appts before surgery. I am right on the border of 35 bmi (w/ comorbidities) & my weight has been dropping due to a new state of mind & the heat. Which is the weight that aetna uses? The initial weigh in, or the day of surgery? Has anyone been denied on the day of surgery for not weighing enough?

[Chimera 644]

I am not sure about Aetna - but my insurance BCBS of Illinois used my starting weight and BMI.

[SkinnyWannaBe 6]

Thankyou

[Neese 75]

I went through Aetna and it was your starting weight. Good luck.

[doxieville 799]

I have Atena; it's your starting date. Day 1 when all this started. :-).

[SkinnyWannaBe 6]

Thankyou

[Raven21 121]

It is the weight your bariatric center submits. I verified this repeatedly and they promised me the only weight they will submit is the one from the initial consult.

I don't think the insurance company specifies bc I have Aetna also.

How long did your approval take?

[SkinnyWannaBe 6]

Hi Raven21: After going through all of the classes- my approval took about 1.5 weeks. I was hanging on the edge of my seat wondering the whole time.

How long did yours take?

I am more nervous now with the rest of it- for every hoop that I jump through, there always seems to be many more- and it gives me anxiety- wondering if the dream is to all come crashing down at any moment, not to go through... but I am sure everyone on here feels that way!!

[Raven21 121]

I'm in the midst of it right now.

I'm required to do 90 days of a multi disciplinary program which includes 3 psych, 3 nutrition, 3 PCP visits, and an exercise consult.

I've had one of each so far.

I should be done and able to submit for approval on November 17th.

I'm hoping for a December surgery date!

Did you not have this same process?

[SkinnyWannaBe 6]

Mine was a bit different- I had a 6 month nutrition, and then I had to attend some classes and a psych eval before I could submit for an approval.

I hope you get your surgery date in dec! I hope to get one soon- as soon as I can get the scheduler to return my phone call