Illinois Aetna (BMI/Approval)

[vrice 1]

Does anyone use Aetna in Illinois? I know plans can vary, but I’m wondering about there approval process. When I first met with the surgeon I had a 40 BMI. As it’s supposed to...it’s dropped since my first visit. Not much, but it’s dropped. The PA I saw at the next visit said that if I do not have sleep apnea, then I wouldn’t qualify. Does anyone have any knowledge of this. Isn’t the purpose of the program to lose weight. I would be under the 40 BMI at surgery, so am I supposed to be a 40 at the time of surgery? Just confused! Any advice is appreciated.

[FancyChristine15 810]

I don't have Aetna, but I was always under the impression that you have to be over a 40 BMI at the initial visit to qualify. Then, of course, you're going to start losing weight as you work the program. I would call your insurance company and verify it with them. PAs and Drs don't always know the insurance side of things.

[vrice 1]

That’s what I thought. Thanks for the input.