AETNA 3 month or 6 month?

[olamae 16]

Also who decides if you do the 6 or 3 month? You or your surgeon?

[Womanvsmirror 314]

I decided but I think it depends on how much weight you need to lose before surgery and any other medical issues

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[aslcertified 86]

Also who decides if you do the 6 or 3 month? You or your surgeon?

[aslcertified 86]

My first appt , the coordinator did not say anything about a 6 month pre-op. She just said well Aetna requirement is 3 month and she gave me a check off list of the things I need to do and numbers to call to set up my appointments within the 3 month period. I really did not know about the 6 months requirement until I received my benefits coverage summary. But as I reveiew the summary , I think they were following my co morbitities and which criteria I fall under and just told me To do the 3 month pre-op Bec I had all what the ins needed for approval me vs what they needed for the 6 months. So it all depends. But was definitely not told about the net weight gain , I was told that oh just as long as you do not gain 4 to 5 lbs or lose too much weight that would cause your bmi to go below the requirement for surgery you would be fine. They were shocked just as much as I was , and not well informed about the specifics but I should have read the information for myself instead of depending on them to know it all. So please please what ever you do not not gain any weight and get a copy of your coverage and read it throughly before you start spending money then be disappointed but if you stay within guidelines I know you will be approved whether it's 3 or 6 months.

[NewLA 31]

Also call the insurance company and ask them for it in writing. Each Aetna plan is different based on the company's requirememt. My agency had a 3 month plan, were as someone in my support group who had Aetna was 6 months.

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[aslcertified 86]

That's a great idea too !!

[olamae 16]

See this policy has the and/or on the 3 month or 6 month. I can't call because I'm not on the policy yet but getting my fiance to is like pulling teeth!

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[Womanvsmirror 314]

You can view it online... I reviewed the policy before i signed up

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[olamae 16]

You can view it online... I reviewed the policy before i signed up

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This is what I've found on it

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[Womanvsmirror 314]

That's it..

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[Womanvsmirror 314]

But every Aetna policy doesnt include it. Some employers exclude it.

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[Ginger Belle 54]

With my insurance which is Aetna Choice Comprehensive PPO I had a choice of 3 or 6. I choice the 3 month. I started March 30th last appointment June 30th. End of program appointment with blood work July 6th. Submitted to insurance July 18th approved July 25. Didn't show history of 2 yr weight loss or anything. Just didn't gain weight and started walking everyday. My only thing was having to wait because my doc missed an appointment so had to resend information but once submitted it was approved. Surgery date 8/15

[aslcertified 86]

Your new lifestyle change is just around the corner and I pray you have a speedy recovery. @@Ginger Belle congratulations!!

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[Lexigurl82 160]

I am going on Aetna on January 1st, has anyone done the 3 month multi discipline or 6 month supervised dieting? What did they require that you do?

I had Aetna for my surgery and did the 3 month supervised diet. Every plan and surgeon is different. My plan required 4 visits with the surgeon, 3 visits with a dietician or NUT, a psyc exam, pulmonary function test, sleep apnea test, EKG and Chest X-ray. Good luck!

[olamae 16]

So who chose the 3 month diet versus 6? You the patient or the surgeon? So I started my 6 month with my PCP but my BMI is 42.6 with no cormorbids. I am 5'7 so i really have to maintain and not lose to much. I am afraid when I start in January with the surgeons office I will be heavier than when I started with pcp.