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Aetna- Has anyone been through the process?

Atsirc

By Atsirc, in Insurance & Financing

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Atsirc    10

Atsirc
Posted

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:

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SwissMiss    1

SwissMiss
Posted

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

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Mimi11    2

Mimi11
Posted

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!!!!!!

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Atsirc    10

Atsirc
Posted

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?

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notfat    1

notfat
Posted

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!

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SwissMiss    1

SwissMiss
Posted

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.

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SIPS in Seattle    345

SIPS in Seattle
Posted

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!!

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CoCoA-RN    1

CoCoA-RN
Posted

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!!

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SIPS in Seattle    345

SIPS in Seattle
Posted

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:

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Atsirc    10

Atsirc
Posted

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?

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Atsirc    10

Atsirc
Posted

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:

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CoCoA-RN    1

CoCoA-RN
Posted

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?

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Atsirc    10

Atsirc
Posted

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

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SIPS in Seattle    345

SIPS in Seattle
Posted

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

CONGRATS!!!!

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Go To Topic Listing Insurance & Financing

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    • Alisa_S

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      CaseyP1011

      Officially here for a long time, not just a good time💪
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