LivingForGod 111 Posted July 18, 2013 Im just wondering do anyone have aetna and have been sleeved or has gotten and approval from them? If so what all do they require as in paper work? Do they ask for a 2 year weight history? Im asking because my husband wants to get sleeved but he is the type to not get sick and don't have a 2 year weight loss history. So anyone that can shed some light on this situation PLEASE let me know ASAP!! Thanks!! Share this post Link to post Share on other sites
DonRodolfo 1,416 Posted July 18, 2013 Im just wondering do anyone have aetna and have been sleeved or has gotten and approval from them? If so what all do they require as in paper work? Do they ask for a 2 year weight history? Im asking because my husband wants to get sleeved but he is the type to not get sick and don't have a 2 year weight loss history. So anyone that can shed some light on this situation PLEASE let me know ASAP!! Thanks!! I have Aetna. As I remember, Aetna required 3 months supervised weight loss before surgery. As for the weight loss history, I don't know if it was my surgeon or Aetna that required it but all they did was contact my PCP which has records on me dating back to 2002. Share this post Link to post Share on other sites
Chele H 427 Posted July 18, 2013 I have Aetna, surgery is Monday. If you google "Aetna weight loss surgery requirements" you should be able to pull up thier requirements. I believe they wanted a 5 year weight history. BMI of 40 or higher with no co-morbitities, 35 and higher with 2 co-morbitities. I had to do 3 months check in with my surgeon, 2 nutritionist visits and a psych evaluation. After submitting everything the approval process to 4 weeks Share this post Link to post Share on other sites
LivingForGod 111 Posted July 18, 2013 See my husband didn't go to the doctors. He had surgery abouy 7 or 8 years ago. They have his weight so he may be able to use that???? Hopefully it won't be any problems Share this post Link to post Share on other sites
C_TimesThree 64 Posted July 18, 2013 They required 90 days supervised diet and 2 years of weight history. 1 BKLYNgal87 reacted to this Share this post Link to post Share on other sites
BKLYNgal87 503 Posted July 18, 2013 C_TimesThree is correct. They will require a 2 year history. You can check with your employer to be sure but it's a general fact that insurance will want to see documented evidence of obesity for a certain timeperiod. Even though your husband saved them money by not going to the doctor . http://www.aetna.com...0_199/0157.html ^ this lists the general requirements. Good luck. Share this post Link to post Share on other sites
LivingForGod 111 Posted July 18, 2013 Thanks guys...I just read that. Hopefully we can find a way to get that information for him so that will not keep him from being able to have the surgery. He isn't the type to get sick fast so he said he never had a reason to go to the doctor...MEN Share this post Link to post Share on other sites
DonRodolfo 1,416 Posted July 18, 2013 See my husband didn't go to the doctors. He had surgery abouy 7 or 8 years ago. They have his weight so he may be able to use that???? Hopefully it won't be any problems I would think that would work. And tell him to start going to the doctor more often! Share this post Link to post Share on other sites
DonRodolfo 1,416 Posted July 18, 2013 MEN 1 LivingForGod reacted to this Share this post Link to post Share on other sites
LivingForGod 111 Posted July 18, 2013 Yes that's what I told him. But he said if im not sick why spend unnecessary money..so I just left it alone...lol Share this post Link to post Share on other sites
DonRodolfo 1,416 Posted July 18, 2013 Yes that's what I told him. But he said if im not sick why spend unnecessary money..so I just left it alone...lol If he's getting sleeved, he's going to get to know doctors REALLY well! Share this post Link to post Share on other sites
natedog51 34 Posted July 18, 2013 I have Aetna and their was the 2 year requirement that my doctor's office "preached" about at the seminar. There was mention that it could be from anywhere like urgent care or such. Maybe you will will figure out a way around it, but I do remember that as a key data point. Share this post Link to post Share on other sites