aiross

has anyone changed surgeons after getting insurance approval? if so, did the approval still hold or did you need to resubmit for preauthorization/approval?

That has to do with coverage, as in if your employer purchased the rider for wls. If it is covered, each insurance company is likely to have 1 set of standards to review candidates by. that is whar is reflected in the aetna clinical bulletins, for example. While not all aetna plans have wls coverage, the ones that do are guided by the same set of aetna requirements (in the bulletins).

Hi. I was just approved by aetna. 6 months is not required. Please make sure your surgeons office is aware of the new requirements, as mine was not until I told them. they only require 12 sessions between a program (i did weight watchers virtual group sessions), your nutrionist and surgeon appts and preop testing/clearances. i was able to complete and submit to aetna in only 6 weeks. good luck!

Hi all, anyone have Dr Marc Bessler do their surgery in the last few years? I’d love to know about your experience. Thanks!

good to know. my surgeon’s office submitted for approval today so now the real wait begins... thanks for sharing!

Hi all—anyone recently approved/rejected by Aetna? just wanna know about any challenges since they changed their requirements in may. new 2020 aetna reqs