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Aetna approval

I just finished my 3 months of dieting, nutritionist, pysch evaluation, and my surgeon office just submitted my paperwork. Anyone know approximately how long it takes for approval from Aetna? I'm hoping to have the surgery by the end of October.

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I had Aetna when I had my surgery. My first doctors appointment was in Sept and I had my surgery in Dec of 2010. I don't remember exactly how long it took to get approved, but it was quick. The office staff told me Aetna was one of the easiest and quickest at approving patients.

I have Aetna. My initial appointments started the beginning of June 2011. My claim was sent to them on September 9 and was approved on September 14. My surgery is October 18th.

Tomorrow starts my 2 week pre-op liquid diet. You'll hear something soon!

-Deana

I just finished my 3 months of dieting, nutritionist, pysch evaluation, and my surgeon office just submitted my paperwork. Anyone know approximately how long it takes for approval from Aetna? I'm hoping to have the surgery by the end of October.

OMG! I have Aetna and I had my first visit to the surgeon like 2 weeks ago. While I wasnt happy with the meeting if I do decide to go with him, he did say he could do my surgery by Jan 2012. hearing how quickly you all got approved adds up with the timeline he gave so i feel better. Good luck all!

Keep us posted, i hv aetna too, my 90 days is up 11/17 my dr said he will try to submit a lil early bc i want to hv it done 11/21

I just finished my 3 months of dieting, nutritionist, pysch evaluation, and my surgeon office just submitted my paperwork. Anyone know approximately how long it takes for approval from Aetna? I'm hoping to have the surgery by the end of October.

I have Aetna EPO. It took about 5 days and that was because they needed more info from the doctor. I would have had an answer in 2 days if they didn't need this info! Good luck to you!

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I will definitely let you know once I am approved, keeping my fingers crossed it will be by next week. Getting all the pre-op lab work done this week in anticipation for the approval. :rolleyes:

I have Aetna *** I started my appointments in June and paperwork was sent August 1 and I was approved by August 6. I had to postpone due to a new job and reschedule for Christmas break Decemeber 21st. It has to be resubmitted in November for approval but I have no worries, Aetna has been great.

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:(Ok now the stress has begun. I called Aetna to check on my approval that was submitted last week and they informed me that they have not yet received my clinical records!!!! Now they have to be resubmitted everything, the good thing living in the state of Washington they have a two day turn around time for surgery approvals. So keeping my fingers crossed I will know something by next Monday..

I was approve through Aetna 2 days after it was submitted.

I really love this posting, I read another one about Aetna here and it kind of brought me down. A lot of problems with the 2 yr weight loss history. Have any of you had that problem. I am a little concernd because I havent been with my PCP for 2 years and we never really dicussed weight loss. Everything I've done, was done on my own. But you guys keep me smiling and thinking positive

We are under open enrollment for insurance and Im thinking of switching to Aetna just for this reason alone. I dont even know where to start with the questions I have about Aetna and how much they pay etc. Ive been doing a little reading and it looks like they pay about 90%. Im wondering if I go through the 3 months of physician supervised diet...starting now...(I have HAP now) and switch to Aetna during my open enrollment, if they will go back 3 months..or if they will make me start all over starting Jan 1st to get the surgery.

I hv aetna too, and I hv the same dilemma, I hv been with my pcp along time but my bmi hasn't been exactly over 40 the whole time, close to it, so fingers r crossed. As far as how much aetna pays it depends what kind of aetna plan u hv bc they aren't the same, my plan covers 100%

I really love this posting, I read another one about Aetna here and it kind of brought me down. A lot of problems with the 2 yr weight loss history. Have any of you had that problem. I am a little concernd because I havent been with my PCP for 2 years and we never really dicussed weight loss. Everything I've done, was done on my own. But you guys keep me smiling and thinking positive

I have Aetna as my primary insurance and I was denied because I couldn't show 2 years of weight history. So I'm having to use my secondary which was BCBS of IL.

What do they mean by 2 years of weight history? Does that mean like being on WW for 2 years..or that you just have been trying for 2 years.

Not to butt in but.. A weight history is a documented "weight history" from your doctors office. It's just the weight the doctor recorded whenever you've been seen for any reason, check-ups, gyno visits ect. This needs to go back 2 years so it shows that you have been obese for at least that long.

Also, Aetna paid almost all of my bill for the surgery and it was just under $25,000. The only bill I recieved was from the hospital for $500, everything else was covered. Anyone wondering about this needs to contact Aetna, your coverage and deductable could be different than mine was.

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