Who wants to play? Approved or Denied - Aetna

[Miss Piggy 30]

37 year old female, 255 pounds, 5' 10", 37ish BMI

over 35 BMI for at least the last 8 years

3 letters written for medical necessity - surgeon, PCP, back specialist

1 personal letter from myself

Documented Conditions (comorbids but not "technically according to Aetna) - depression, chronic Migraine syndrome, metabolic syndrome, high triglycerides, prediabetes, herniated discs, spinal stenosis, joint pain

Just trying to take the lightheartered approach since its now out of my hands, lol.

Submitted April 11th and I confirmed Aetna has the file. They have up to 15 days.

Any bets or Approval/Denial and when... kind of like the baby due date/sex game

[Miss Piggy 30]

P.S. I'll start... denied/April 17th

[0tracy0 6]

I hope u get approved. Aetna denied me twice. I just found out that I was approved Wednesday through appeal.

[brandyrn73 13]

Sadly I say denied too. I've done the Aetna game as well. They are a real stickler on their weight requirements and co morbids.

[sueob1968 3]

I was denied twice so far. I have asked Lindstrom Obesity to assist. Hoping it will be approved. If not..self pay. Good luck. Don't lose hope..seems Aetna approves a lot of people without denial...but if you look, they deny a lot too,

[0tracy0 6]

I was denied twice so far. I have asked Lindstrom Obesity to assist. Hoping it will be approved. If not..self pay. Good luck. Don't lose hope..seems Aetna approves a lot of people without denial...but if you look' date=' they deny a lot too,[/quote']

Have u tried to do an appeal?

[Ashley B 1]

When you submitted all of your doctors and your personal letters, did you collect them all from each doctor and send them in one packet? Or did each doctor submit them personally??

I'm going to have to do this as well through United.

[sueob1968 3]

Have u tried to do an appeal?

I am working on second appeal with Lindstrom OA.

[sueob1968 3]

When you submitted all of your doctors and your personal letters' date=' did you collect them all from each doctor and send them in one packet? Or did each doctor submit them personally??

I'm going to have to do this as well through United.[/quote']

They are part of my packet.

[The.new.g 48]

I was denied for my band to sleeve revision twice by Aetna last year. I met all of their criteria listed in our revision policy at my employer, but they still denied me. After about 4 months, I finally reached the 40 BMI threshold again, and they approved me on 2nd appeal. But I did have surgery finally, 12/29/12.

[shasha 5]

I see what yall mean, dealing with aetna.....it hell.....with all my info turn in all requirements done ...still pending 21/2 weeks now

[Miss Piggy 30]

Today is day 15 and its still pending...blah!!!!!!!!!

[Miss Piggy 30]

Just got off the phone AGAIN and now it's apparently with the medical director...not sure if that's good or bad, lol!

[Bellanthin 112]

Atena pending and surgery Tuesday sick too my stomac????

[Bellanthin 112]

Atena pending and surgery Tuesday sick too my stomacdde12

Oops stomach