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Peer To Peer Review

Hi Everyone

I found out today I was denied by Aetna for not having a BMI over 40 for the last two years. Well, the reason for my BMI not being over 40 is because I have been going to weight loss doctors and be issued phentermine. My BMI has never been below 37 (well at least in the last 8 years it hasnt) Needless to say, Aetna stated my surgeon can complete a peer-to-peer review with their medical director. Has anyone else (preferrably w/Aetna insurance) had this happen? IF so what was the end result?

Thanks

Jbright

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My surgeon had the peer to peer review today with aetna, and i got approved! Liquid diet starts tomorrow, and my surgery is dec 19.

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My surgeon had the peer to peer review today with aetna' date=' and i got approved! liquid diet starts tomorrow, and my surgery is dec 19.[/quote']

Awesome Jenkopp! I am glad it worked out for you! I wish you much success!

  • 3 weeks later...

That's awesome Jendkopp! So happy for you! I am still waiting to hear back ,.... So nervous! I'm so ready to start! I want to start with the new year :)

4thefuture31: you should get approved with sleep apnea and a bmi of 37. The insurance approval part of this journey is the worst part. Good luck and please keep us updated

  • 4 weeks later...

I got approved today!!! I am so excited and nervous! YAY!

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