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Aetna NAP success with the 3 month plan

hi im leslie, im pretty new to the concept of the lap band so forgive me if i ever ask a question that seems silly :) Im on Aetna NAP and during my meeting with my doctors insurance assistants, she mentioned that i could do the 3 month medically monitored diet as opposed to the 6 month version. Has any one had a hard time getting approved with the 3 month plan? i dont want to do anything wrong, so any advice would be great!

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Yes I have heard also that you can do a 3 month multidisciplinary diet.I had no problems with Aetna approval process.See my signature line.The case manage assigned to me was very helpful.She called to check on me preoperatively and postoperatively.I wish you the best with getting things approved.

No problems here either. Just be prepared it still can possibly take almost 6 months to complete the process.

I have Aetna NAP also and my 3 month paperwork was just submitted to insurance today! Hopefully I'll have an answer soon!

Just thought I'd follow up.... my insurance was submitted yesterday and I got the approval this morning! :):):) I have Aetna NAP and did the 3 month diet program. Happy as a lark :) so excited!!

  • 3 weeks later...

Just thought I'd follow up.... my insurance was submitted yesterday and I got the approval this morning! :):):) I have Aetna NAP and did the 3 month diet program. Happy as a lark :) so excited!!

just curious your bmi.... I have a bmi of 35 - no other problems (ie- sleep apnea or diabites or high blood pressure) and i was denied...i havne't done the 3 months yet, but they are going to resubmit after the 3 month diet program. I was just curiuos if you also had a lower than the required 40 bmi.

just curious your bmi.... I have a bmi of 35 - no other problems (ie- sleep apnea or diabites or high blood pressure) and i was denied...i havne't done the 3 months yet, but they are going to resubmit after the 3 month diet program. I was just curiuos if you also had a lower than the required 40 bmi.

I honestly can't remember what my bmi was when the submitted the info. I do know for sure that it was over 40. They also required the bmi to be over 40 for over 3 years or something like that (doc records). One of the years I did dip down below the requirement. I don't have any co-morbidties. Don't give up!

Hi Leslie my name is Trina, and I have Aetna also, I'm so glad to know some one with Aetna. I've had the hardest time with this place TLC edge my claim hasnt even been subitted yet. I had to start my doctor and my nutrient visits all over again this has been an process since last November. So I started over because TLC stated my doctor visits had to be aligned with my nutrient visits. This place has been a roller coaster, I would like very much for you to share with me your process or the surgey center that you are using. Please I need feed back.

hi im leslie, im pretty new to the concept of the lap band so forgive me if i ever ask a question that seems silly :) Im on Aetna NAP and during my meeting with my doctors insurance assistants, she mentioned that i could do the 3 month medically monitored diet as opposed to the 6 month version. Has any one had a hard time getting approved with the 3 month plan? i dont want to do anything wrong, so any advice would be great!

I have Aetna and haven't had any trouble at all. Matter of fact they were great. But my BMI was well over the 40 (and has been for 15+ years) and I had several comorbidities, which have cost them a bit of money recently :P

Good luck to you!! :)

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