Aetna- 3 month process

[sam1016 10]

I've been approved by Aetna however have a 3 month diet plan to follow per Aetna's requirements. Has anyone done this route and how soon after you started your process were you given a surgery date? Does the 3 months start on the day of your first consultation or the day you meet with a dietician?

[dede0314 356]

So you got approved before doing the 3 month supervised diet program?

[sam1016 10]

From my understanding I was approved via my BMI and medical history, but I could be misunderstanding the information. I am currently on a 1600 calorie diet via my doctor and completing the pre op appointmets--cardiologist, nutritionist, pysch eval, etc. I completed my cardio appointments and have another appoitment with my surgeon the 18th of this month, which will be my third visit.

[dede0314 356]

I went through Aetna. I was eligible for surgery due to BMI, etc. But had to go through three month process. Once completed the surgeons office will submit your information to Aetna and Aetna will approve or deny. If you follow the criteria and do not gain any weight during the process you should be fine.

[dede0314 356]

Sorry, didn't see your question. Your 3 months start when you see your dietician.

[sam1016 10]

ok great thank you =) and congrats on your weight loss!

[dede0314 356]

Thanks!

[ychani 21]

I have aetna too. I finally submitted to my ins on 1/28, I did do all the requirement etc.. I waiting for approval. My patient advocate said they my take 2wks. I called aetna (i'm kind of excited n nervous) For approval is still pending. They said it may take 7-10 days. :- {

Edited February 3, 2016 by ychani

[numeby2017 88]

Hi ychani are you going through Cleveland clinic?

[numeby2017 88]

Hi Ychani are you going through Cleveland clinic?

[ychani 21]

I'm going thru st vincent. And I'm still waiting for approval. Have u submitted?

[numeby2017 88]

Yes I have Aetna it was submitted on 1/22 and I got the call from the coordinator on 2/02 that I was approved. So now just waiting on call to advise me of surgery date. I'm so anxious , lol. I hope you hear soon, I will be rooting for you, it's the best feeling after all the work we put in to get to this point. I'm in Cleveland so if want a buddy, be happy to. The.more support we have the better.

[1excited 15]

I'm going thru st vincent. And I'm still waiting for approval. Have u submitted?

$)@@ychani I have aetna as well (I am waiting to hear back). Did you hear back yet, how long did it finally take?

[ychani 21]

I'm going thru st vincent. And I'm still waiting for approval. Have u submitted?

$)@@ychani I have aetna as well (I am waiting to hear back). Did you hear back yet, how long did it finally take?

Yep I did hear from them (on Feb 9th), on the 13 out of 14 they were to respond back. And I was schedule for the 18th of feb for surg.

[Sajijoma 1,324]

I did the 90 day plan as well because of my BMI and because I went through a center of excellence. My 90 days started the day I saw the NUT for our first visit/consult and then I had 2 more visits that were exactly 45 days apart. After that, it depends on the speed of the office and ability of them to get everything together and files with aetna. My office took about 2wks because the psych held my eval ransom because he "forgot" to send me a bill to pay and demanded it be paid before he released it(he's just that nice a guy!) then my surgeon was out of town the next week so he couldn't write the letter of recommendation for surgery, but after they got all that together and it got submitted, it went in on Monday, I called Tues and there was no update. I called again We'd and they told me still no update and later that afternoon, the coordinator at my surgeon's office called with the official approval. From there it was a matter of picking my day, another visit with the surgeon for directions on what to do and blood tests needed and then over to the hospital for a blood draw and some questions and a brief EKG and that was the end of it! ????