Hi Everyone,

I am new here and this is my first post. I had my first visit to explain the lapband and all the dr.s visits. I have my psych, nutritionist, pulm., and cardiologist all on the same day which is great. I have been reading here that Aetna requires 90 days of monitored exercise and dieting. Can this be done with your PCP? I just don't want to be denied and am trying to do everything I can beforehand to prevent it. I hope this goes smoothly. I can't wait to get banded!

:smile:

Hi Everyone,

I am new here and this is my first post. I had my first visit to explain the LAP-BAND® and all the dr.s visits. I have my psych, nutritionist, pulm., and cardiologist all on the same day which is great. I have been reading here that Aetna requires 90 days of monitored exercise and dieting. Can this be done with your PCP? I just don't want to be denied and am trying to do everything I can beforehand to prevent it. I hope this goes smoothly. I can't wait to get banded!

Hi and welcome

I too have aetna and i was told by my doctor and the surgeon that it can be done with your PCP or other specialty doctor that is involved in your care

Thanks Bry for your response! Good luck to you!

Update:

I just got my date- 10/12/10. Papers were filed on Monday and I was approved on Wednesday!!!!! YAY! Aetna! So, I guess all my paperwork was good enough! WOO HOOO!!!:thumbup:

good for you and a fast date too!

My Aetna policy provides NO coverage for bariatric surgery - even with comorbidities. If you can, get a copy of your policy right away and read it.

I hope your policy is different than mine!

My Aetna policy provides NO coverage for bariatric surgery - even with comorbidities. If you can, get a copy of your policy right away and read it.

I hope your policy is different than mine!

Hi,

I had to do a little research on the Aetna website. There is a Clinical Policy Bulletin #0157 that explains in great detail the exact criteria to be approved for bariatric surgery. I am not sure what kind of insurance you have but it might be worth a look. Good Luck to you!

You got approved before the 90 days? Did you not have to do the 90 day diet?

thanks

Daelynn,

Before deciding to go with the Lap Band, I had been visiting my PCP for monthly monitoring on a diet plan. So, it kinda worked in my favor once I decided to go ahead with the surgery having 6 months of diet info to submit.

Melissa