Aetna

[dfwtxmissy 108]

I have Aetna. I had to do 4 months with the dietician. Had the psych eval. Had the sleep study which I failed so had to get a machine. Had cardiac stress test because I am an ex smoker. Got my approval on September 20. Scheduled surgery for Oct. 7 after having the EGD and preop testing at the hospital. And here I am today, 3rd day postop. I just emailed Aetna with my policy information and got a response the next day with the approval. I knew before my doctor did.

[the-Russ 91]

The last time I went to the doctor was in 2010, and I am done with everthing (6 mo) and ready to submit. My doctors office didn't let me know this when I started the process.

does you BMI in 2010 qualify you? is there any other record of your weight? Gym...

[Bethylou 4]

Woot! Woot!...I got my approval frn aetna.surgey Oct 29 th so excited! Tht was fast 2 buss days!

I just got word that I was APPROVED!!! Surgery on Oct. 28th!!!! :-))))

[jinxxy5 151]

I have Aetna. I had to do 4 months with the dietician. Had the psych eval. Had the sleep study which I failed so had to get a machine. Had cardiac stress test because I am an ex smoker. Got my approval on September 20. Scheduled surgery for Oct. 7 after having the EGD and preop testing at the hospital. And here I am today, 3rd day postop. I just emailed Aetna with my policy information and got a response the next day with the approval. I knew before my doctor did.

[jinxxy5 151]

Your surgeon did your surgery without approval first???

[nh20013 15]

Hey did u submit a 2 yr weight history?

[dfwtxmissy 108]

Yes...had to submit the 2 year weight history from my pcp.

[Bethylou 4]

Absolutely. It is one of the requirements that you have 2 year history. I turned in 3 years. One think I did was call and ask a lot of questions prior to getting too involved. I asked to talked to someone that works with Bariatric patients and got an awesome person. I got her name/phone number and she called her every month.

Different companies must require different things. I did not have to submit a 2 yr history, and was approved today. Took 28 days from submission to approval (including weekends.)

[jinxxy5 151]

Different companies must require different things. I did not have to submit a 2 yr history, and was approved today. Took 28 days from submission to approval (including weekends.)

Aetna has a standard policy (google aetna clinical policy bulletin 0257) most companies will go with that...however an individual company can stipulate whatever they way.

[bosoxgirl1966 20]

I am still waiting...so frustrated..

[dfwtxmissy 108]

That's why I emailed them to ask about the authorization.

[mazzers120 75]

I am still waiting...so frustrated..

Me too this is making me sick to my stomach

[UberBuffaloGal 20]

Aetna has a standard policy (google aetna clinical policy bulletin 0257) most companies will go with that...however an individual company can stipulate whatever they way.

On my Aetna policy it is bulletin 0157. I guess it makes sense since companies have different policies and coverage.

[jinxxy5 151]

On my Aetna policy it is bulletin 0157. I guess it makes sense since companies have different policies and coverage.

my bad typing on my phone it is 0157!

[bosoxgirl1966 20]

Just found out my insurance is changing to bcbs of Texas Jan 1st..