Aetna Insurance anyone??? Please help

twinmommy05 · May 27, 2008

I have Aetna POS insurance and it covers 90% for the lap-band surgery. Well, someone mentioned to me that though the surgery is covered, you have to go through 6 months of recorded weight loss attempts with your doctor. Well, I know that I have some record with my doctor and I want to get a jump start on exactly what I will need. No one will tell me. In 2005 I had my twins, so I don't have a record for 2004 and 2005. My first consult isn't until June 25th, but if I need to start seeing my doctor before that I want to get going on it. Please, please, please give me feedback. I'd like to get a jump if I can. I am 36 years old, 243 pounds, 5 feet 7. I also previously went to a diet doctor in late 2005 for diet pills, but it wasn't with my PCP. I am just confused on what to do.

Bjornsyouruncle · May 27, 2008

My insurance wouldn't accept previous attempts at weightloss. They're requiring that I see a doctor now for six straight months (as in, if I miss a month I have to start over). But YMMV.

Flowerpurr · May 27, 2008

Ok here is the low down on Aetna. I have them as well and I did the three month diet that they state in their clinical bulletion. That is on Aetna.com and type in obesity surgery. They also require a two year weight history of a bmi over 35 with co-morbities or 40bmi and you don't need any co-corbities. You must have at least three months documented weight loss in the past two years that are back to back. You can't have a month here and a month their. I hope this helps. I am waiting right now to get approved.