Anyone from Slidell, LA having gastric sleeve and have Aetna?

muffin70043 · October 21, 2014

Went to first nutrition appt. BMI 36.47

Anyone know about Aetna guidelines for gastric sleeve?

yungshi · October 21, 2014

I'm from the New Orleans area and my surgery is scheduled for November 14th with Dr. Lavin.

I have Aetna. I started the process in June. I had to have a 3 month supervised visit with the NUT & NP, provide my highest weights from two years ago, have a sleep study, and a psych evaluation.

Aetna is pretty strict about gaining weight... So on my second to last visit I gained 2-3 pounds and I was terrified I was gonna be denied.

But on my last visit I had went down 6 pounds.

Two weeks after they sent in all of my paperwork, I was approved.

yungshi · October 21, 2014

And also, Aetna requires you to have a BMI greater or equal to 40.

muffin70043 · October 22, 2014

@@yungshi, thanks for the information I really appreciate it. When I went to my doctor he told me because I had high blood pressure high cholesterol and diabetes and a BMI of 36 and above that I would qualify through Aetna. Hopefully my doctor in for me correctly. I already went to my first nutritional appointment my second one is November 4 and hopefully my last will be December 1. Keeping fingers crossed I need this weight off it's been 25 years