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

[LesIsMore 22]

Denied by atena 39.5 bmi high cholestral n high blood pressure peer to peer was thurs no word yet

What's involved in a peer to peer?

[ChrisBthin 44]

Approved...today by Aetna...Surgery on Tuesday. ..

[LesIsMore 22]

Approved...today by Aetna...Surgery on Tuesday. ..

Congrats Chris

[LesIsMore 22]

Approved...today by Aetna...Surgery on Tuesday. ..

Congrats Chris

[ChrisBthin 44]

Thanks!

[laffypatty 47]

Initially denied....approved this morning after peer to peer!!!!!!!!!

37 BMI

Tons of comorbids but nothing that Aetna usually considers. So grateful!!

Tentative surgery date of June 5th

Miss Piggy,

Would you mind sharing with me some of your comorbids that Aetna doesn't usually consider. I have none on their "list," but lots of orthopedic problems related to excess weight. Thanks for any info. Feel free to private message me if that makes you more comfortable.

[buplee 556]

My bmi was 49 with no comorbities and I was initially denied by Aetna twice. I was only required to undergo three months of nutritional counseling but ultimately went though 12 months. I was denied the first time because my surgery was outside of process by 4 days due to a holiday weekend, and told to go through three more months of nutritional supervision.

I'm fought with Aetna for 18 months before hiring a healthcare advocate at great cost, who threatened to sue and go to the media. She also wrote a scathing letter to the Chief Medical Officer stating the same and detailing the huge liability to Aetna based on my medical history. I had a knee replacement, spinal/neurosurgery, and several of procedures which were mostly weight related. i received a call from the medical review and appeals department overturning the denial one week after the letter was received by the CMO. I was finally sleeved on 2/19/13 and I am down 80 lbs so far.

[quackstitch 10]

so you can use the weight from a hospital procedure? I might need to do that-- for bcbs MI

[Bellanthin 112]

Appppppprovvvvedddddd

[LesIsMore 22]

Appppppprovvvvedddddd

Congrats. How long did it take, what is your surgery date, and with what Dr? So exciting!!!

[Bellanthin 112]

Congrats. How long did it take' date=' what is your surgery date, and with what Dr? So exciting!!![/quote']

well my original dtae was may 21 ive been fighting since then no date yet cause i called atena and found out couldnt wait any longer for letter ill update on surgery date i was denied the day before surgery

[becky2013 11]

Doc. submitted paper work on Friday 7/12/2013. Still waiting to hear something from Aetna. If approved I think my surgery date will be 8/12/2013. Will be so happy to get this done and hope to get off my BP meds, CPAP machine, Fluid pills, and hope my Knees feel better. I pray that the Lord guides the Doctors hands while he preforms this surgery on everyone having the surgery. NO LEAKS!! AMEN

[ChrisBthin 44]

Aetna takes up to 15 days...

[becky2013 11]

Well found out today that Aetna denied my surgery due to not completing the 90 days.

I counted up and I had completed 97 days. Doc will appeal and there will be a Pier to Pier review.

Sure hope it doesn't take to long for them to approve this. Surgery was scheduled for Aug. 12, 2013.

Can hardly wait to get this weight off and new improved health. Come on AETNA help me make this happen.

[ChrisBthin 44]

Well found out today that Aetna denied my surgery due to not completing the 90 days.

I counted up and I had completed 97 days. Doc will appeal and there will be a Pier to Pier review.

Sure hope it doesn't take to long for them to approve this. Surgery was scheduled for Aug. 12' date=' 2013.

Can hardly wait to get this weight off and new improved health. Come on AETNA help me make this happen. [/quote']

Someone had there dates wrong!!! Call them yourself they will answer any questions you have.