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

Aetna PPO-pissed off!!



Recommended Posts

As of today, I am still waiting. I called this morning and was told it was being reviewed by doctors and they sent that over to the doctors on 12/21. They said it usually takes 7-10 days after that to hear something. This is driving me crazy!!

Share this post


Link to post
Share on other sites

Yes they will deny you. I went thru that with them and that is what happened to me. But I found someone that knew what they were doing and got all the paperowrk to them and was approved in 2 days!

Share this post


Link to post
Share on other sites

They denied me my first try then my denial was just reversed last week. I now have a tentative date of January 7. I hope things work out for you!!!!

Why did they deny you?

Share this post


Link to post
Share on other sites

:angryI got my surgery done 12/7/07 with UHC because I know my sompany was switching to Aetna in JAN 08 what I didn't know was that Aetna would not pay for fills . B&*%#es that's alright cause my Dr. will cover 3 of them and the money I will save on eating out will pay for it itself

Share this post


Link to post
Share on other sites

that's good destiny. i'm waiting on my surgeons office to call me now, so I can find out about the fills.

Aetna doesn't pay for fills because they've negotiated them in the full price they pay for the surgery.

I'm glad to hear your approval came through! Hopefully mine will go the same way! Mine is similar to yours - something was forgotten when the submission went - Hmm - wonder if we have the same person? lol

Share this post


Link to post
Share on other sites

Aetna doesn't pay for fills because they've negotiated them in the full price they pay for the surgery.

I'm glad to hear your approval came through! Hopefully mine will go the same way! Mine is similar to yours - something was forgotten when the submission went - Hmm - wonder if we have the same person? lol

right!!! As of today they doctors office still doesnt have my approval letter and wont do anything till they get it. I've had mine for a few days now and the nurse finally said I can send her a copy of mine. The insurance company doesn't know why they have received it yet, but said the nurse could call her and she will give her all the info she needed for the approval. The nurse refused to do that and said she needed it in writting. What makes this worse is that, the class that I have to go to wont be offered again until the end of next month!!!! OMG what the hell is going on!!! I'm so sick of this unecessary bull crap. I asked the nurse today why so many simple things are falling through the craks and no once seems to care. She didnt have an answer of course.

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

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Yay!! Congrats. I know how good that feels. 🤩

    • Jenopolis

      Had a sleeve in 2017, lost over 100 pounds. Had a DS surgery this year (2025) for more sustainable weight loss. 🤞
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      The 14th was my day. I am home and recovery is going pretty smooth. They even let me walk out of the hospital. Picture of me in recovery curtesy of my boyfriend lol. 

      · 3 replies
      1. DaisyChainOz

        Glad it went well!! Wishing you a speedy recovery and wonderful success!! 🤗

      2. buildabetteranna

        Thank you ❤️

      3. Selina333

        Neat you have a pic of this day! I was sooo happy to get my surgery. It was well worth it! And I'm not even near my goal. I had surgery Dec. 2!

  • 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

    ×