Aetna Sleevers - Share Your Approval And/or Denial Experiences Here!

[vswannabe 0]

Hi. I have submitted everything needed to Aetna, except for my 2 yr. weight history. I have history since 2003, however I did not go to the doctor AT ALL in 2010. Ins. Has denied me right now because I don't have any weight history for 2010. I was told that this is the only thing holding up my approval. Has anyone had any luck getting around this? I hate to think I did all this work & spent all this money on co-pays, etc. only to be denied for something as small as this...Any suggestions??

[HeadMistress 35]

Hi. I have submitted everything needed to Aetna' date=' except for my 2 yr. weight history. I have history since 2003, however I did not go to the doctor AT ALL in 2010. Ins. Has denied me right now because I don't have any weight history for 2010. I was told that this is the only thing holding up my approval. Has anyone had any luck getting around this? I hate to think I did all this work & spent all this money on co-pays, etc. only to be denied for something as small as this...Any suggestions??[/quote']

Hi! So no sorry to say there is no way around that... that is my issue as of right now. I didn't have insurance in 2010/2011 so they denied me unless I can come up with some thing. Fortunately I went to the E.R a few times and my Surgeons office requested records I got 2010 still waiting on 2011 I was only given 14 days I know have 10. Did u go to the E.R at all during that time?

[vswannabe 0]

Hi! So no sorry to say there is no way around that... that is my issue as of right now. I didn't have insurance in 2010/2011 so they denied me unless I can come up with some thing. Fortunately I went to the E.R a few times and my Surgeons office requested records I got 2010 still waiting on 2011 I was only given 14 days I know have 10. Did u go to the E.R at all during that time?

No, didn't go to the ER, Urgent Care, OBGYN, nothing..I am really a healthy person & rarely have to go to the Dr. I am so bummed!

[HeadMistress 35]

No' date=' didn't go to the ER, Urgent Care, OBGYN, nothing..I am really a healthy person & rarely have to go to the Dr. I am so bummed![/quote']

Dang try talking to ur pcp maybe they can write a letter on ur behalf. I know some people who said there dr... "doctored" up some clinicals if you catch my drift... other wise seek legal action... its in your plan. Some people dont get sick and need to go to the dr. Its not your fault u were healthy.

[Raven21 121]

Vswannabe, it's almost 2013 so if you have weight history from 2011 and 2012, you should be able to have surgery in January.

[vswannabe 0]

Vswannabe' date=' it's almost 2013 so if you have weight history from 2011 and 2012, you should be able to have surgery in January.[/quote']

I was thinking the same thing, however I was told last Wednesday that I'm losing my job and my insurance will only last through January 4th. My current coverage is awesome, I pay $300 out of pocket and the rest is covered 100 percent.. I will have my husband's insurance once mine runs out but he has a 90/10 plan and it will cost me substantially more. I hate that I paid a higher premium all year and now will probably lose out because I'm a few weeks shy of having weight history for 2 yrs. I almost feel like this is an omen and maybe I shouldn't have the surgery...just very disappointed with the whole situation.

[Raven21 121]

Can you schedule surgery for the 2nd or 3rd?

[vswannabe 0]

Can you schedule surgery for the 2nd or 3rd?

IDK...I'm gonna call 1st thing Mon. morning & try to figure something I out. I went to a low carb support group in 2010 & was weighed there each meeting...wonder if they would accept a letter from the group leader with my weight?? Can't hurt to ask....

[goldiva 26]

I have Aetna and my paper was submitted on 11/7 ,clinicals 11/13 after reading all the post I decided to call to check on my status and I was APPROVED today 11/19. I havent been scheduled as of yet but I hoping by the end of the year.

[HeadMistress 35]

I have Aetna and my paper was submitted on 11/7 ' date='clinicals 11/13 after reading all the post I decided to call to check on my status and I was APPROVED today 11/19. I havent been scheduled as of yet but I hoping by the end of the year.[/quote']

Congrats I just msgd u back..

[goldiva 26]

IDK...I'm gonna call 1st thing Mon. morning & try to figure something I out. I went to a low carb support group in 2010 & was weighed there each meeting...wonder if they would accept a letter from the group leader with my weight?? Can't hurt to ask....

I was going to a weightloss program and I requested my whole history which charted my weigh in..That what my doctors submitted to Aetna for the weight history

[itstimeforachange 18]

My paperwork was sent to Aetna on the 15th' date=' this monday will be 2 weeks now.... I've called them twice now and it's still under review, but they gave me my reference number so its easier to look up when I call. I'm biting my nails here waiting for a response. They said the turn around time just depends on how busy they are.... Grrrrr, and to top it off my surgeons is booked up all thru november already and most of december! I would hate to have to wait till January and then have to meet my deductible all over again for the year! Fingers crossed they have an answer soon.[/quote']

I have Aetna and my paperwork was sent on the 8th of October and my letter had a date of the 18. I was told most cases it takes 10days. My doctors office called before I got my letter cause I was asking for a update. I called as well.

[minimii 43]

still waiting on final approval...

I have called every other day since my paperwork was submitted, and they keep telling me that it’s being still being processed – UHG! They should be tired of me calling…

[mwrarr 244]

I haven't called yet on mine. I'm glad to hear about the 10 days...thats a lot shorter than my surg office said to expect! Whew!

347*294/284/135 (*347HW/294SSW) | (twitter) @Mwrarr | mwrarr.wordpress.com

[vswannabe 0]

IDK...I'm gonna call 1st thing Mon. morning & try to figure something I out. I went to a low carb support group in 2010 & was weighed there each meeting...wonder if they would accept a letter from the group leader with my weight?? Can't hurt to ask....

Well I just found out today that my insurance will be extended thru Jan. 31St!!! However, it will be thru Cobra (employer is paying 100% for 1 full month). Has anyone had this type of experience???? I was told my coverage would remain the same & I would still use my Aetna card for services. Just afraid b/c this is all new to me....hoping someone has gone thru a similar situation...