Aetna

[Mrs Q 1]

Does anyone on here have Aetna? If so how were they? I am new at this so please forgive all my questions. I have a seminar coming up next week.

[lzucks 232]

I have Aetna. They required 6 months of medical supervision for weight loss before surgery, but didn’t require that I lost weight during that 6 months. They approved my surgery pretty quickly (about a week, I think). But there are many different Aetna plans so your requirements might be different than mine.

[SusieQ2019 567]

I have Aetna, Presently I am waiting for my approval submitted on April 3rd.

Also if you do a search for Aetna myself and a few others have recently posted quite a few post regarding Aetna and our experiences so far.

If you have any specific questions myself and many others will be glad to answer.

Best of luck tomorrow.

[SusieQ2019 567]

Hi @lzucks how quick is quick. I call them up today and they said they received my file on April 3rd.

Thank you!

[lzucks 232]

@SusieQ2019 I think it was about a week so hopefully you’ll get an answer pretty soon

[GettingDHealthy 6]

I’m with Aetna too and am on month 5 of my 6 month medically supervised weight loss. I’m getting a little anxious to see whether or not they’ll approve me for surgery. 🤞🏼

[Recidivist 1,141]

I have Aetna (federal government). As Izucks said, I was required to do six months of a medically supervised weight loss program. Since my BMI was just under 40, I also had to get proof of at least two co-morbidities (in my case, it was high BP, pre-diabetes and sleep apnea). Then they asked for two additional pre-surgery consultations with my doctor, which neither of us understood. After doing all that, I was approved the first time.

[SusieQ2019 567]

My Aetna plan required 3 visits with a dietitian/nutritionist and 4 consecutive visits with my surgeon. I was not required to do a medically supervised weight loss.

[GettingDHealthy 6]

Dang! I had to have 6 months with my PCP, see a psychologist, a dietician and get chest x-rays/abdominal ultrasounds. The surgeon also requires that you attend 3 support group meetings.

[SusieQ2019 567]

I had to get clearance from my PCP, sleep test, psychology, endoscopy and cardiologist who sent me to get the stress test. I go to their support group on my own as it i s not required.

[YellowBird19 8]

I have Aetna and I had to 4 classes(appointment s) with Nutritionists dietitian, had to have PCP sign off, nephrology, endocrinologist, cardiology, ultrasound,
And had to show I was on some type of weight loss etc.

But do not gain any weight during this I was disapprove for the surgery for gaining 3 pounds. Doctors had to go through review .

3 days prior to surgery date I finally got approved. 6 weeks post OP down 40lbs.

That's my experience with Aetna

Sent from my SM-N960U1 using BariatricPal mobile app

[Shanda_2019 77]

On 04/09/2019 at 20:20, YellowBird19 said:

I have Aetna and I had to 4 classes(appointment s) with Nutritionists dietitian, had to have PCP sign off, nephrology, endocrinologist, cardiology, ultrasound,
And had to show I was on some type of weight loss etc.

But do not gain any weight during this I was disapprove for the surgery for gaining 3 pounds. Doctors had to go through review .

3 days prior to surgery date I finally got approved. 6 weeks post OP down 40lbs.

That's my experience with Aetna

Sent from my SM-N960U1 using BariatricPal mobile app

How long did you have to wait after gaining the 3lbs ?

[YellowBird19 8]

Doctors went through the medical review board because I had unusual circumstances. I lost weight but was also retaining Water. Because I have Chronic Kidney Disease.
Had to wait 4 days and it was over the weekend nerve racking. Got approval on Monday surgery was that Thursday