Lenamarie301

If they submit before you complete your program they will deny you for not completing the program. Don't get discourage. Make sure you don't gain anymore weight and complete the program and all of Aetna's requirements. Don't let anyone discourage you if I did I wouldn't be where I'm at now. Good luck!! Keep us posted.

Praying for you that all goes well and You will be on the operating table on 7/28!

Praying for you that all goes well and You will be on the operating table on 7/28!

don't give up, even if you have to pay something out of pocket most places will work with you and at least give you a payment plan

Don't give up!!! I would also question this requirement and ask for it in writing. I was initially told this and then told it wasn't required.

Do not give up! Stay with it. You will be JOYFUL in the end. It is all worth it.

6 months takes you to dec 6th. You could do it
Sent from my SM-G930P using the BariatricPal App

Make sure you don't gain any weight during your 4 month supervised diet.

Wow thank you for the info. I think I may need to get checked for sleep apnea... Good luck with everything!

I am also just starting out, but I have insurance directly with the hospital I work for. My insurance required a 6 month medically supervised weight management program, sleep study, labs, various radiology tests, 2 visits with a cardiac/ exercise physiologist, one visit with a nutritionist, and a mental eval...and although my doctors office did tell me that I needed to have all these things done before they would even consider approving me, I took it upon myself to call my insurance and have them email me the requirements (so that I can have it in writing). My point in all this, I would still make a call to Aetna just to make sure the your doctors office hasn't missed anything :]

I was approved today at 1:37 & I can not stop the tears from falling.

So I am waiting patiently for Aetna to approve me. I have called everyday since last Thursday when the request was submitted and reluctantly the auth is still pending. I work in a medical office doing authorizations so I have checked as a provider and patient and still nothing. The nurse handling my case is out of the office today I dont want to be a bug a boo but darn it I am anxious. Surgery date is Oct 22nd and a second date of Oct 27 just in case. Anyone else waiting on Aetna?? Help a sista out.... I pray that they approve me after all of this.

I just went through the approval process with Aetna and was finally approved today for surgery June 7th.. I was originally scheduled for surgery on May 24th and on May 23rd at 4:45, they denied my approval. I was livid as the entire day of the 23rd I was jumping through hoops to get them the documents that they required. They blamed it on my doctor's office when it was their incompetency that caused the issues. They said that my doctor did not send them the needed lab results as well as other documents when in fact, they were sitting in my file at Aetna's office. Be very careful with them. They required that I go through the pre-op program as well and I did everything they asked. I am the same height and weight as you are and I have severe sleep apnea that has been documented through a sleep study and am currently using a CPAP to correct it. That was what they denied me for. My doctor had to have a peer-to-peer conversation with their doctors to get me approved but finally, they did approve me.
My advice to you is to stay on top of what documents Aetna needs from your medical doctors and keep checking with them so you don't have to go through the stress I have just gone through.