Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Aetna- Has anyone been through the process?



Recommended Posts

I'm getting ready to submit all of the paperwork to my insurance company, Atena. Has anyone been through the process with them? I've been through the 3 month diet (that really turned out to be 6 because of a stupid mistake on my part). I'm such a worrier and would love to hear about some other experiences with Aetna! :blink:

Share this post


Link to post
Share on other sites

I'm getting ready to submit all of the paperwork to my insurance company, Atena. Has anyone been through the process with them? I've been through the 3 month diet (that really turned out to be 6 because of a stupid mistake on my part). I'm such a worrier and would love to hear about some other experiences with Aetna! :blink:

I went thru AETNA and it was a breeze. After my 3 month's of Dr. visits and completing all of the other requirements (EKG, Psych eval) my claim was submitted and approved in less than 5 days and I had my surgery 2wks later

Share this post


Link to post
Share on other sites

I have Aetna they are very quick, just make sure you have all the required paperwork.This will prevent any delay on your approval:) Good Luck!!!!!!

Share this post


Link to post
Share on other sites

Thanks for responding! It makes me feel a bit less anxious. :) If you don't mind me asking, how long had you both been with Aetna before your surgeries?

Share this post


Link to post
Share on other sites

I had Aetna and they approved me within a week of submitting all of the required paperwork. I have had this Aetna policy for 1.5 years. Good luck on your journey!

Share this post


Link to post
Share on other sites

Ive been with AETNA since 2006-2007 but they had a clause that didnt cover the procedure. They just changed their policy in 2009 to cover weightloss surgeries and I jumped right on it and ended up having the procedure in March of 2010.

Share this post


Link to post
Share on other sites

I'm getting ready to submit all of the paperwork to my insurance company, Atena. Has anyone been through the process with them? I've been through the 3 month diet (that really turned out to be 6 because of a stupid mistake on my part). I'm such a worrier and would love to hear about some other experiences with Aetna! :blink:

I have Aetna, and was denied my first go round with them. I was approved after my 2nd appeal. The reason I was denied is that they said I wasn't at a 40 bmi, for 2 years nor was my sleep study sufficient enough. I'm being banded on Cinco de mayo :)

I have a coworker who was just approved (also Aetna) it took about a week for her approval. She's being banded on the 10th of May.

Just make sure you have everything documented, and you have medical history going back at least two years.

Good Luck!!

Share this post


Link to post
Share on other sites

I am also worried about Aetna approving me for the surgery. My current BMI is 43 but I don't know that it has been that for 2 years, but I also have high blood pressure, borderline diabetes, chronic fatique, lower back pain, and a few other things. I want to know if you had any other co-morbidities besides the study and the BMI? Will be finished with my 3 month diet in June and would hate for them not to approve me on a tecnicality.:blink:

I have Aetna, and was denied my first go round with them. I was approved after my 2nd appeal. The reason I was denied is that they said I wasn't at a 40 bmi, for 2 years nor was my sleep study sufficient enough. I'm being banded on Cinco de mayo :)

I have a coworker who was just approved (also Aetna) it took about a week for her approval. She's being banded on the 10th of May.

Just make sure you have everything documented, and you have medical history going back at least two years.

Good Luck!!

Share this post


Link to post
Share on other sites

Hiya,

I did do the sleep study and was only mild apnea which they didn't consider enough of a comorbitity. The only other issues I have is severe asthma and a couple years ago I had spinal fusion surgery to remove my L5 disc. And I dipped below a bmi of 40 during the last 2 years.

Good luck ;) I'm getting ready to head in for my band this morning!!

I am also worried about Aetna approving me for the surgery. My current BMI is 43 but I don't know that it has been that for 2 years, but I also have high blood pressure, borderline diabetes, chronic fatique, lower back pain, and a few other things. I want to know if you had any other co-morbidities besides the study and the BMI? Will be finished with my 3 month diet in June and would hate for them not to approve me on a tecnicality.:blink:

Share this post


Link to post
Share on other sites

I am also worried about Aetna approving me for the surgery. My current BMI is 43 but I don't know that it has been that for 2 years, but I also have high blood pressure, borderline diabetes, chronic fatique, lower back pain, and a few other things. I want to know if you had any other co-morbidities besides the study and the BMI? Will be finished with my 3 month diet in June and would hate for them not to approve me on a tecnicality.:blink:

Can you tell me a little about the diet that you did? I did 3 months with a nutritionist and my primary care physician and I might have to do another 3 months. Did you see anybody else during the 3 months?

Share this post


Link to post
Share on other sites

Hiya,

I did do the sleep study and was only mild apnea which they didn't consider enough of a comorbitity. The only other issues I have is severe asthma and a couple years ago I had spinal fusion surgery to remove my L5 disc. And I dipped below a bmi of 40 during the last 2 years.

Good luck ;) I'm getting ready to head in for my band this morning!!

Good Luck!!! :rolleyes:

Share this post


Link to post
Share on other sites

The only people I saw during my 3 month diet was my PCP and that was it. I met with the surgeon a couple of times but other than that my PCP just had me cut my calories down to 1500 and exercise 3-5 times a week for 30 min-1 hour.

I am also worried about Aetna approving me for the surgery. My current BMI is 43 but I don't know that it has been that for 2 years, but I also have high blood pressure, borderline diabetes, chronic fatique, lower back pain, and a few other things. I want to know if you had any other co-morbidities besides the study and the BMI? Will be finished with my 3 month diet in June and would hate for them not to approve me on a technicality.:blink:

Can you tell me a little about the diet that you did? I did 3 months with a nutritionist and my primary care physician and I might have to do another 3 months. Did you see anybody else during the 3 months?

Share this post


Link to post
Share on other sites

I was just approved!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! :D:lol::rolleyes:

Share this post


Link to post
Share on other sites

I was just approved!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! :D:lol::rolleyes:

CONGRATS!!!!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
      · 0 replies
      1. This update has no replies.
    • Onedayatatime365

      Looking to connect with others who are also on the journey of better health. Post-Op Gastric Sleeve (4/11/24).
      · 0 replies
      1. This update has no replies.
    • jparadigm

      Happy Wednesday!
       
      I hope everyone is having a lovely week so far! 
      It's been a bit of a struggle this last week...I'm hungry ALL the time.
      · 1 reply
      1. BlondePatriotInCDA

        Have a great Wednesday too! Sorry you're hungry all the time, I'm pretty much the same..and I'm sick of eating the same food all the time.

    • ChunkCat

      Well, tomorrow I go in for an impromptu hiatal hernia repair after ending up in the ER over the weekend because I couldn't get food down and water was moving at a trickle... I've been having these symptoms on and off for a few weeks but Sunday was the worst by far and came with chest pain and trouble breathing. The ER PA thinks it is just esophagitis and that the surgeon and radiologist are wrong. But the bariatric surgeon swears it is a hernia, possibly a sliding one based on my symptoms. So he fit me into his schedule this week to repair it! I hope he's right and this sorts it out. He's going to do a scope afterwards to be sure there is nothing wrong with the esophagus. Here's hoping it all goes well!!
      · 3 replies
      1. AmberFL

        omgsh!! Hope all goes well!! Keeping you in my thoughts!

      2. gracesmommy2

        Hope you’re doing well!

      3. NickelChip

        I hope it goes well! Sending positive thoughts for a speedy recovery!

    • jparadigm

      Hello lovlies!
      Today is a beautiful day in west Michigan! I hope you all have a beautiful Tuesday and rest of your week!! 🤗
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×