Aetna questions....any insurance question

[Gotta win 4me 12]

Hey everyone,

I will be starting a new job the 1st week of June and at the beginning of July, I will be able to sign up with Aetna insurance through my new job. I was given information that Bariatric surgery is covered under the plan and that there are 3 consecutive months that I will have to be on a physician-supervised plan. This week I went to see my PCP so that she could start me on a plan, thinking that the insurance company will take the documentation when the surgical center submits the paperwork. Also, I made an appointment with the surgical center but they cant get me in until the end of next month. ***So,that's why I opted to start the plan with my pcp. Am I moving to fast? Will I still have to go more than 3 consecutive months being that I do have the insurance yet (Will my 3 consecutive months start when I start on the insurance plan, only?)? Is it ok, to move ahead with the nutritional plan? Must I wait until I have the insurance? Any advice is needed.

Thanks!

[Chrisb428 626]

8 hours ago, Gotta win 4me said:

Hey everyone,

I will be starting a new job the 1st week of June and at the beginning of July, I will be able to sign up with Aetna insurance through my new job. I was given information that Bariatric surgery is covered under the plan and that there are 3 consecutive months that I will have to be on a physician-supervised plan. This week I went to see my PCP so that she could start me on a plan, thinking that the insurance company will take the documentation when the surgical center submits the paperwork. Also, I made an appointment with the surgical center but they cant get me in until the end of next month. ***So,that's why I opted to start the plan with my pcp. Am I moving to fast? Will I still have to go more than 3 consecutive months being that I do have the insurance yet (Will my 3 consecutive months start when I start on the insurance plan, only?)? Is it ok, to move ahead with the nutritional plan? Must I wait until I have the insurance? Any advice is needed.

Thanks!

I don't know about your particular plan, but my Aetna has a 6 month requirement. I had already been seeing my pcp, endocrinologist, and a dietitian for 2 months for weight loss before my initial bariatric consult and was told they wouldn't count. I had to start from that point. Yours may be different, that was my experience.

[Briswife15 890]

My insurance, Anthem BCBS, requires that the visits and nutritional visits be done through the surgeon who is doing the surgery. Just my experience though. Good luck!

Sent from my SM-N950U using BariatricPal mobile app

[Gotta win 4me 12]

9 hours ago, Chrisb428 said:

I don't know about your particular plan, but my Aetna has a 6 month requirement. I had already been seeing my pcp, endocrinologist, and a dietitian for 2 months for weight loss before my initial bariatric consult and was told they wouldn't count. I had to start from that point. Yours may be different, that was my experience.

Thanks. I think it is 6 months if I’m just going to a pcp and 3 months if I go through the surgeon. I may have to just wait until the end of next month for my doctors appointment. I will call them Monday to get a definitive answer.

[kimberlymi 113]

My WLC has a strict 6 month rule no matter what my insurance has to say. My insurance dose not have a waiting period but my doctors are good and I wanted to go with them. I am glad I will have this 6 months to change my eating and get into my exercise routine.

[BGrundee 61]

I have Aetna and did the 90 day regimen. Your weigh-ins should start at the surgeons. Also each weigh-in day at surgeon or weight loss center will be combined with a nutrition visit so you knock out 2 birds with one stone...

Edited May 25, 2018 by BGrundee
typos

[Auroragirl4489 88]

Yeah i have Aetna and it was only 3 months but my surgeon recommended 4 to be safe. Patiently waiting an answer