mikeloriandkids 3 Posted January 7, 2013 I feel like I'm jumping thru hoops for Aetna. I'm on month four of my six month supervised weight loss..... Anyone else getting anxious with Aetna???? Help!! Share this post Link to post Share on other sites
crystal525 26 Posted January 7, 2013 Aetna also has a 3 month program...was that an option? Maybe it's a different plan??? I only had to do 3 months before my band and this time for my sleeve. Share this post Link to post Share on other sites
mikeloriandkids 3 Posted January 7, 2013 I'm not sure I have the ***. I will have to look into that ASAP!!!!! Thank you!!! Share this post Link to post Share on other sites
mikeloriandkids 3 Posted January 7, 2013 The stars were supposed to be h m o. That was weird. Share this post Link to post Share on other sites
ebonisekim 1,713 Posted January 7, 2013 I've jump through a lot of hoops for Aetna but it worth it I was approved in 24 hrs hang in there w out really no health issues beside pre hypertension but my Bmi is 42 Share this post Link to post Share on other sites
enuff_is_enuff 126 Posted January 8, 2013 I have aetna and too was approved quickly. Did u not have the option to do.six.months voa your employer or did your surgeon require six months? And you have made it this far so keep on goin Share this post Link to post Share on other sites
fallingwhisper 187 Posted January 8, 2013 For the people who already had their surgery, how much of your surgery was covered? I know plans are different, but I'm curious. I have aetna ppo Share this post Link to post Share on other sites
GeauxForIt 659 Posted January 8, 2013 I did the 3 month option and it took two full weeks for approval. My insurance covered at 100% but that's bc my company plan covers at 100% after my deductible. I have exceptional insurance though. Most companies only cover 80/20 after deductible. Share this post Link to post Share on other sites
ebonisekim 1,713 Posted January 8, 2013 For the people who already had their surgery' date=' how much of your surgery was covered? I know plans are different, but I'm curious. I have aetna ppo[/quote'] I have Aetna ppo signature and my is covered at 60% and I have to pay 40% my surgery is on the 21 of jan and my surgeon is asking for half of the 40% which is $900 and the hospital is asking for a $1000 of the $1500 deductible but like you said each plan is different it depends on what your employer opt to get and also the hospitals and surgeons office Share this post Link to post Share on other sites
castiel 66 Posted January 11, 2013 I have aetna choice pos ii. But I've read on here that some people with my plan aren't approved, it all comes down to your employer. I had a $500 co-pay for the hospital and then we pay $2,000 deductable. I had 5 doctor's visits with $25 co-pays, I had an EKG and a few other tests and we pay $24.50 out of pocket, a sleep test which was covered 100% I also did the 3 month option, but I had to finish my fall semester and get the surgery on winter break, so I still waited about 6 months anyway. Took a week for approval letter. Share this post Link to post Share on other sites
juny 93 Posted January 11, 2013 Did a 6month supervised diet. I have aetna pos (its an h m o). $45 copays. My deductible is $1000 and $2500 out of pocket maximum. I was told when I called aetna the total I'd be responsible for is $3500. was $1000 more than I expected but I didn't expect this to be free..... Share this post Link to post Share on other sites
crystal525 26 Posted January 11, 2013 I had the PPO when I had my band. Now for my sleeve I have the H M O (POS II I think....). Same employer...I just changed plans due to monthly costs. My surgeries are both covered 100% but my center's program fee was $830-- that covered all the nutritionist visits and various other classes during my 3 months. Share this post Link to post Share on other sites
fallingwhisper 187 Posted January 11, 2013 My doctors office just submitted my stuff to insurance! I can't wait for an approval! Share this post Link to post Share on other sites
LaKimmie 30 Posted January 12, 2013 I saw my surgeon yesterday and they are submitting everything today. Now. I. Wait. We have Aetna POS II, so I'm hoping it will be quick. I almost cried when they said 2-4 weeks for word. I've been jumping through hoops since the end of August. Sadly- this hoop jumping didn't count as exercise. My BMI was 41 & my only comorbitity is psoriatic arthritis, which I don't think they count. Share this post Link to post Share on other sites
fallingwhisper 187 Posted January 12, 2013 I saw my surgeon yesterday and they are submitting everything today. Now. I. Wait. We have Aetna POS II' date=' so I'm hoping it will be quick. I almost cried when they said 2-4 weeks for word. I've been jumping through hoops since the end of August. Sadly- this hoop jumping didn't count as exercise. My BMI was 41 & my only comorbitity is psoriatic arthritis, which I don't think they count. [/quote'] My doctor said to start 'harass' calling after 7 days to see if they've approved early. It happens! Share this post Link to post Share on other sites