Aetna Ppo

[ButterflyRN 0]

Anyone has aetna? There are two different criteria for surgery requirements, either 6 months of a medically supervised diet or 3 months of preoperative teaching for RNY. Anyone has any experience with this? Please share.

[rabrijumo 140]

I am a nurse and I have the Aetna ppo insurance. I had to complete a three month multidisciplinary monitored education wt loss program that my surgeons office did. It had behavior modification, dietician, exercise, and weigh ins. After my three months they scheduled me but my date was a month and a half later so really I did almost 6 months pre op before my surgery sept 25 th. I was disappointed it wasn't scheduled for August but things worked out well. I got all my pre op requirements in at my work, had some complications with MRSA and needed a last min infectious disease clearance. My irritation came in that I had been questioning my MRSA status from the beginning and my doc blew me off then when the hospital required a swab and it was positive the office completely over reacted saying I needed to be placed on a different floor, change my time to the end of the day so the room could be decontaminated, and maybe delayed altogether. however I got it all straightened out and my day went off without a hitch.

[worm2872 635]

I also did the three months with Aetna in a Center of Excellance, multidisciplinary approach. They are submitting me next week for approval with the three months. I am going to keep up with my weight tracking and weigh ins just to be safe. I have heard they approve fast but the center I am going to does not deal with them a lot so they can't give me a time frame.

[ButterflyRN 0]

Thanks for the responses. I truly do appreciate the replies. I asked because my surgeon office was not sure and decided to plan for 6 months. I called today and spoken to my navigator, my plans have been changed to 3 months. My friend with the same insurance is going for a band and her wait ia 3 months also.