Aetna POS

[olamae 16]

They submitted my paperwork to Aetna on Friday, but after reading all these forums I am worried. From my 1st appointment to the last one I was up 4lbs. Nowhere did it say that I could not gain any weight during the process.

Now i'm pissed off because I am for sure going to be denied, but how was I supposed to know?

Its in the Aetna medical bulletin policies. It says "no net gain" which I'm guessing it what you had?

Sent from my SM-G900R4 using the BariatricPal App

[PAguy 27]

So originally I was worried that I would be denied because I gained weight throughout the three months.... NOPE!

I was just denied because they said my BMI was under 40 and I didn't have any comorbidities........which is 100% inaccurate! My paperwork clearly shows I have both hypertension and sleep Apnea. I mean, did they not even read the file before they denied me? Aetna is kind of a hot mess!

Now I have to wait for a peer-to-peer session to be scheduled, so I can find out if I will be approved it not. Fingers crossed!

[az062217vsg 40]

I have Aetna, we are going to try submitting after 3 months. I don't really have any co-morbidities (and BMI <40), so depending on what Aetna says I will either 1) be approved, 2) retry for approval at 6 months, or 3) self-pay.

[PAguy 27]

Peer to peer is scheduled for Friday! Fingers crossed.

[PAguy 27]

Ugh, Aetna denied me again. This is my 4th denial..... They want me to do the whole 90 day supervised thing diet over again.

I feel like I need to go and hit something.