Aetna just Denied me

[Mahaganie 0]

Ok so Aetna just denied me for lap band surgery they said because my bmi wasnt over 40 for the last two yes which is a lie i didnt have insurance for 2007 so i dont have proof any suggestions.

[Mahaganie 0]

Dis regard this i call and curse them out and resent my paper work and was approved today sometime it pays to be mean lol:angry:

[adelarosa33 0]

Congratulations!!!!!!!!!!!!!!!! I have Aetna also, and my BMI is 40.3, and I am soooo scared they are going to deny me, I think at the end of July I will be getting my answer...but I hear if you complain and fight back they will approve sometimes.

Again Congratulations!!!!!!!!!!! Do you have a surgery date?

[Mahaganie 0]

Thanks my surgery date is June 12

[jaredsdad 0]

Mahaganie,

do you mind telling me what you said to them?

I am going to be in the same boat...I have Aetna POS II, and I have a weight from 11/06, and 2/09...but nothing for the years of 07 and 08. I didn't go to ANY doctor for those two years.

I can provide weights for 2002,03,04,05...

My surgeon said they will send pics of me.

If anyone with a brain looks at my information, they will know I qualify. I am 5'11", and my lowest weight in the last 20 years is 220 pounds....THAT WAS WHEN I WAS 11 years old!!!

Let me know what you said that got them moving!

[Mahaganie 0]

Well i told them that i have been over weight for 5 years and i submitted pictures with dates on them along with the beginning and end of the year doctor statements that i had for the years i submitted along with some ranting I'll take you to court things like that lol