Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Your Aetna experience?



Recommended Posts

Tomorrow will be 4 weeks since my paperwork was submitted to Aetna.

The 45 days they have to respond will be over in two weeks so at least I know I will have to hear something by then.

Share this post


Link to post
Share on other sites

Lonestar,

Have you checked to make sure they recieved everything? That seems like a longer time that most anyone one I've read. Hang in there!

Share this post


Link to post
Share on other sites

NeNe & Dogluvr I'm watching y'all with my fingers crossed!! Hope you hear soon! I submit on April 7th.

Thank you soooo much. It just comes down to whatever review nurse got our files you know? NeNe have you called them? If my wait goes past the 2 week mark I think I will be calling. Your approval should be just around the corner, heck it could even be today! Have faith. Its only been 3 business days since they got my files and already Im depressed Im not approved yet lol.

Share this post


Link to post
Share on other sites

dogluvr,

I have not heard anything yet. I don't even know what number to call. The last time, I received a letter in the mail. A day later, my doctor's office called me do discuss. I will just patiently and positively wait.

Good luck to everyone!

Share this post


Link to post
Share on other sites

Miss Melissa -

Yeah, they told me they have everything. Actually, my center sent them everything on 1-28, then Aetna wrote me and said they didn't have everything so my center sent it again on 2-4. I called Aetna on 2-5 and they said yes they received everything and sent it to medical review that day (2-5). I called alot at first and they just kept saying I was in medical review, so I stopped calling. I may call after I finish typing this just to see if I can get past the front line!

NeNe - they have 45 days.

Share this post


Link to post
Share on other sites

Okay, I called Aetna. This is what I was told. "It was referred to the Medical Director for review and after he makes his decision they will notify my doctor." FYI-I have sleep apnea and diabetes along with high cholesterol. Did a year with my PCP and did the 3 month thing with my surgery center. Had psyc eval. and nutritionist counseling. Supplied required health history. Don't know what else to do at this point. I basically don't hold out hope anymore that I can get approved. I think they are just looking for a reason, any little reason they can find to deny me. This is just a beatdown.

Share this post


Link to post
Share on other sites

One more thing, when I call, I get the impression pretty quickly that they really don't want to talk to me. They always tell me that my doctor will be notified, like I shouldn't be calling them. I hate that. I just say that I want to make sure that they aren't still missing any documentation, and today I added the part about it being 30 days tomorrow. No reaction to that at all.

Share this post


Link to post
Share on other sites

Hate to be a stalker here, but have so new info. It appears that my company has a say in whether I get approved also. That sounds like I am doomed here.

Share this post


Link to post
Share on other sites

Hate to be a stalker here, but have so new info. It appears that my company has a say in whether I get approved also. That sounds like I am doomed here.

Lonestar,

If it is a covered procedure with your insurance...I think it's unfair that they get to have a say so regarding if you get the surgery or not. Did they say who at the company gets to decide if you get the surgery or not?

Share this post


Link to post
Share on other sites

Apparently, my company has a medical area made up of nurses and a doctor that works hand in hand with Aetna on approval or denial on pre-cert claims.

Share this post


Link to post
Share on other sites

I pray you get approved. You definitely sound like you are a good candidate.

Good Luck,

Ms. NeNe

Share this post


Link to post
Share on other sites

Lonestar...

I can tell by your name and doctor that we are from the same neck of the woods, DFW. I'm in Burleson. Do you mind telling me the employer your working with. I just need to know if I will be having the same painful, needlessly long wait. I will be sending in my paperwork 1st week of April. I have Aetna thru Lockheed.

Don't feel like a web stalker. I am very interested and how things go for you and the other Aetna people on this site. ... Miss Meliss

Share this post


Link to post
Share on other sites

So my friend is being banded tomorrow 11 am, the one that got approval in one day, and I'm so depressed all I can do is cry. We went through the process together but she would make her apts before mine so she finished and submitted a week before me. Without an approval yet I feel like I'm being left behind. I don't even want to go to work or leave my couch until I get that call:unsure: I don't know how young been holding up nen waiting so long. Sigh.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
    • RacMag  »  bhogue925

      Hi, I’m new here. I’m currently on the liver shrinking diet. So far so good, but I have to say I haven’t found a protein shake I like. Anyone have any suggestions please? My surgery date is September 17th. 
      · 2 replies
      1. BlondePatriotInCDA

        Fairlife Core are by far the best. They taste just as they are - chocolate milk. You can either get the 26 grams or the 42 grams (harder to find and more expensive). For straight protein look at Bulksuppliments.com ..they have really good whey proteins and offer auto ship plus they test for purity. No taste or smell...

      2. BlondePatriotInCDA

        Fairlife has strawberry, vanilla and of course chocolate. No more calories than other protein drinks. Stay away from Premiere, they're dealing with lawsuits due to not being honest about protein content.

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×