Aetna 2015 Weight Requirements

[bunnybunny626 10]

Finally after 16 days and many phone calls, I was approved for my june 4 surgery.

[Puddles 23]

Finally after 16 days and many phone calls, I was approved for my june 4 surgery.

Congratulations!\

Do you submit all of the data, or did your physician?

If you submitted the documentation, were there specific forms?

[handymannynyc1 82]

Just got approved. Surgery date June 29th. I better start getting my thing together.

[marybowlus 17]

@@handymannynyc1 . . . CONGRATULATIONS!!!

[handymannynyc1 82]

Thanks. Let's get healthy woo hoo

[rwoods200 39]

Congrats to those of you who have been approved!!!! When the time comes for my case to be approved, the success you all have had gives me hope of being approved with little to no issues.

Again Congrats!!!

Rhonda

[bunnybunny626 10]

Finally after 16 days and many phone calls, I was approved for my june 4 surgery.

Congratulations!\

Do you submit all of the data, or did your physician?

If you submitted the documentation, were there specific forms?

The doctor submitted everything

[Puddles 23]

Finally after 16 days and many phone calls, I was approved for my june 4 surgery.

Congratulations!\

Do you submit all of the data, or did your physician?

If you submitted the documentation, were there specific forms?

The doctor submitted everything

Thank YOu Bunny! I was feeling a bit invisable as no one responded.

I am overseas with American insurance. They have a very different system here. Not sure how I will go about this, but I will figure it out on my own I guess.

Thank You again!

[LilyKz 1]

So, question. I did a three month program specifically for diet and exercise at a facility. I have the paperwork that shows what I weighed at the beginning and at the end of that time, and recent weigh-ins at the Dr.s have shown that I have not gained all of it back. Most, but not all. Is that sufficient for Aetna do you think? Or will I still have to do the three month program? I have all the other clearances scheduled, just getting anxious about that one. Thoughts???

[thbrown223 214]

I'm with Aetna as well. From my understanding you have to provide a 2 year weight history as well as follow a doctor's supervised diet program for 3 months. I'm unsure if you're able to follow a program that's not your surgeon. During the 3 months, there can be no weight gain or you'll be denied. Not sure if this info is helpful.

[LilyKz 1]

@@thbrown223 Thanks!

[SleevePerry 248]

The two year weight history is no longer required.

[handymannynyc1 82]

3 to 6 month monitored by your surgeon.

[muzical1 85]

In my experience having my PCP document my need to lose weight over several consecutive years was a good thing. However, his letter to Aetna also needed to indicate the same. My BMI fluctuated between a 38 up to 41 at time of this process. I was approved with no problem. My WL surgeons office knew how to put all docs together to meet their approval and they made sure I followed their checklist . From what I see on this site, that's the biggest part. I even gained 3lbs during my weight management period but ended with a net loss of 1lb submitted to insurance. Try not to stress.

Edited July 3, 2015 by muzical1

[LilyKz 1]

@@muzical1

I'll try...thanks!!