Aetna POS II Choice

[Flowerpurr 0]

Hello Eveyone,

I have Aenta insurance and my current BMI is 47. I just went to my Dr. last week and he told me to come back in two weeks for a blood work up and a physical. Aetna won't help me to find out if I qualify they say they can't tell me. So I went on there site and pulled the information. I was wondering if anyone has gotten approved without doing either the six month program or the three month program. I want my surgery like yesterday. Any experiences anyone can help me with?:help:

[destiny79 0]

sorry to tell you but you must complete one of them and you cannot miss a month and than pick up the following month. they will make you start all over again. but it is so worth it.

[aubrie 6]

Even after doing the 6 month diet, and everything else they required, I STILL got denied. I appealed and now 5 months later and having danced through more hoops I finally got approved. I'm having my band done on the 19th. From start to finish it took me 11 grueling months. Even with all this, they will only pay $1085. I have to pay the doctor $3000 out of my pocket on top of all this greif. Aetna sucks.

[Flowerpurr 0]

Why did they deny you in the first place? Did you show five years in a row of being obese? I have one year missing to make five in a row but I can show more than that throught my life? Do you think this will pass?

[aubrie 6]

they denied me because they said my doctor's 6 month documentation "wasn't good enough". that's when I had all my other doctors write letters and send documentation of other problems I was having. I had my OB/GYN document my stress incontinence, my cardiologist document my heart problems and high blood pressure, I had a sleep study done, and had my Rhumetolgist document the deterioration of my knees and hips from the weight. After that appeal, how could they refuse?

[JESS4HOUSTON 0]

I have Aetna POS II Choice as well. I'm currently doing the 6 PCP diet and will also provide them with my weight history for five year and I'll be praying for approval. I'm worried about the $$ part of it.