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Aetna Insurance

Surgeons office just submitted my paperwork to the insurance company!!! So scared of being denied, but I'm trying to stay positive on a quick approval.

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Still waiting to hear from Aetna they have had all my paperwork since Oct. 31st. It's driving me CRAZY ! Everytime I call they tell me it's still in review.

Still waiting to hear from Aetna they have had all my paperwork since Oct. 31st. It's driving me CRAZY ! Everytime I call they tell me it's still in review.

Aetna told me they have up to 14 working days to review all paperwork. I was given an answer in exactly 14 days. They like to take their time don't they? Don't they understand all the added stress they put us under? Good luck to you and I hope you get an answer soon.

Still waiting to hear from Aetna. Monday November 19th will be 14 business days since they got all my paper work so I expect to hear something then. IT'S STILL DRIVING ME CRAZY :)

Well the doctor's office heard from Aetna. I can't believe it but I was denied :( I am 5'3" 215 pounds, pre diabetic, elevated blood pressure and high cholesterol . I did the six month supervised and only lost a few pounds ( but didn't gain) and was denied. We are waiting for the letter to find out why so we can appeal it. I am heart broken and have been so upset since I heard.

Well the doctor's office heard from Aetna. I can't believe it but I was denied :( I am 5'3" 215 pounds, pre diabetic, elevated blood pressure and high cholesterol . I did the six month supervised and only lost a few pounds ( but didn't gain) and was denied. We are waiting for the letter to find out why so we can appeal it. I am heart broken and have been so upset since I heard.

I'm so sorry. Don't give up!

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Well the doctor's office heard from Aetna. I can't believe it but I was denied :( I am 5'3" 215 pounds' date=' pre diabetic, elevated blood pressure and high cholesterol . I did the six month supervised and only lost a few pounds ( but didn't gain) and was denied. We are waiting for the letter to find out why so we can appeal it. I am heart broken and have been so upset since I heard.[/quote']

I'm so sorry this happened to you! Please don't give up, appeal the decision as soon as possible!!!!

Thanks mzyunique1 I am going to appeal its just so frustrating. But I'm not giving up.

BeckySue, Dr. Trahan's office will do what they can to help you. Have you appealed yet?

We are waiting for the official letter from Aetna. Dr. Trahan's office called that's how we know I was denied. Nurse Lillian said as soon as we get the letter we will appeal with a peer to peer review. I'm trying not to loose hope.

Beckysue: I am in the same boat as you. Aetna denied me, and I'm waiting for my surgeon to do the peer-to-peer review. Good luck! Please keep us updated.

Jenndkopp good luck to you too. I'm hoping the peer to peer will work but don't know at this point. I went to the seminar in March of 2012 and have been work ( jumping threw hoops) for almost 9 months. It's just so upsetting. Keep me posted on your progress.

I've been denied twice by Aetna. I did the supervised diet 3 times already! Almost a year trying to get approved. They just do not want to pay even though I meet all the requirements. I've tried so hard to do everything right and they denied me because I did not lose weight. I've tried not to give up hope but I think I am about ready to throw in the towel. Tired of fighting :(

Keep your heads up. I am sure it is fustrating but look at the journey you guys have come through. I am sure it will work out. Have you called Aetna to talk to them to see what they are looking for? Keep us updated. My surgery was finally scheduled for 1/10

I've been denied twice by Aetna. I did the supervised diet 3 times already! Almost a year trying to get approved. They just do not want to pay even though I meet all the requirements. I've tried so hard to do everything right and they denied me because I did not lose weight. I've tried not to give up hope but I think I am about ready to throw in the towel. Tired of fighting :(

. What is your surgeon saying about this ? And why were you denied before? And did your surgeon tell you you had to loose weight during your six month diet?

The letter from Aetna says I was denied because I don't have 2 yr history of 35 BMI and one of the listed medical issues. I just don't Understand we sent them records from 2010 of weight of 220 2011 and 2012 and between then and now the lowest I've been is 202. Currently 214 and 5'3". So BMI has not been under 35. Also sent them two years of bloodwork records showing pre diabetic glucose levels, high cholesterol. Now we need a peer to peer review and surgeon wants PCP to do it and PCP wants surgeon to do it. The nurse at the surgeons office doesnt understand why i was denied. She said the surgeon almost never does peer to peer review. PCP doesnt want to do it because he has never had a patient with lapband and has never donethis before. I just don't know it's driving me crazy!

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