Please help..Aetna POS II requirements

jkmccowan · June 2, 2009

Hi, I have Aetna POSII plan and am trying to get approved for lapband surgery. My BMI is only 37 but I have sleep apnea. Now the surgeons office is telling me that I might have to be on a six month wt loss program. I have been working on getting approved since Feb. and now they are telling me ugh. The insurance hasn't denied me yet but the surgeons office told me I need to start the exercise program just in case. Aetna's wt loss requirements are really confusing and I need all the help I can. I saw that some people have done a 3 month wt loss program and was wondering what all I had to do. If anyone has gone through this and can give me some advice I would appreciate it. Thanks

stellaabbey · June 2, 2009

I also have Aetna POSII, and I was denied with a bmi of 39.999999999999999999999999999999999999999999999

I also have high blood pressure. My 2 year weight history was under 40 also, and that is why i was denied.

I did the 3 month program and was still denied.

I hope you have better results than I did. I ended up being self pay.

jkmccowan · June 3, 2009

Hi! I'm sorry you were denied. What did you have to do for the 3 month program? I'm really getting frustrated with the surgeons staff they didn't even know that Aetna requires 2yrs of records not 5. I really am starting to think I need to look at other payment options.