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

Approval from Aetna finally



Recommended Posts

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

Share this post


Link to post
Share on other sites

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!!!!

Share this post


Link to post
Share on other sites

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 .

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.

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

    ×