Approval from Aetna finally

[Ronda1966 0]

I was wondering ,maybe you can help me .I am in the stages of gathering all my information .I do find myself in a pickle with a weight missing from 2007 . I have weights as far back as 1998 . I guess I never went to the doctors in 2007 (I don't remember). I do have weights from mostly Weight Watchers meeting and gyms from 2003-2006 doctors from 2008.I have a BMI of 41 something and sleep apena., high cholestrol, very poor knees due to weight and have had surgery to the right knee twice. I will be getting a cpap mask on the 29th of Dec (last test ) since I failed that test .I also have a hital hernia, and major acid reflux,I take meds for that and pain killers for my knees. I figured since 2009 is right around the corner maybe that weight can fill in where I'm missing 2007?????? Do you think I am running a good race with getting approved ,since you were missing a weight for one year .I have Aetna POS for my insurance, My primary doctor as well as the heart specialist I went to see both wrote letters of apprval stating this would benefit me . I'm getting really worried .I have racked my brain trying to think of any doctor I might have seen in 2007 ,and I come to a blank. Thank you

[nicole242 0]

For those of you with Aetna PLease call to see if your employer has written weight loss surgery into your policy. If they have not you will NOT be approved for any reason at all. I would suggest checking that out before you do anything!!! Call yourself!!! The suregeons office has you do all this stuff, and you shell out all this money, and then find out they won't even consider this. This is what happened to me. I wish I myself would have checked with the insurance company first!!!!

[Ronda1966 0]

Thank God I'm one of the lucky ones who do have this included in my plan . I have read so much on here how people do not check with their insurance companies first .I am grateful that I found this site before making my decision to go through with seeking out help . I just wished everyone who is looking for a healthier life style could get it through the insurance companies because in the long run it will benefit both parties .

[tmbowe 1]

Without the weight from 2007.. You may run across some issues.. Did you ever go to a quick care or someplace where they may have possible weighed you.. If not you need to make sure you submit a letter stating that you were not seen by a dr in 2007 but you are submitting 2006 and 2008. Just make your letter as detailed as possible.. They accepted my pregnancy weight for 2006 so I am sure they will accept whatever you can come up with.

[oyesican 0]

I've been denied and then the appeal was denied and now I'm on my second appeal. It's been 4 long months - this after the 6 month supervised, sleep study, yada yada yada. I'm really hoping I will win the second appeal. I meet all the criteria except I haven't had a high enough BMI consistently for 2 years. Shame on me for dieting and getting the BMI down with in the 2 year Aetna requirement :wink2:

I have to keep trying though, I really feel like it's my last option.