Question about 6mo supervised diet-aetna

[d9leigh 31]

Your story makes me feel a little better, thank you

[Instyle98 240]

You're welcome! Mine only had a 4 month wait period though come to think of it. I have Aetna POS. I guess it all depends which company your insurance is through. It will depend on what they contracted with them.

[FFP 10]

I have Aetna POS and did the 4 month through my center. The office canceled my September appointment and I went October 1 and was told I'd have to start over. The office took the blame because it was documented that I had asked about rescheduling in September but because of the Jewish holidays, there weren't appointments. I had my surgery on 12/26. I was afraid to do anything but maintain a status quo weight-wise so I didn't really try to start losing until I went on the pre-op diet. I was afraid if I lost too much that they'd say I didn't need the surgery.

[Instyle98 240]

I remember them saying that if I went more than 31 or 35 days (can't remember the exact number) that I would have to start over and I needed to have my surgery by the end of December or I would have to start over. They gave approval very quickly after the center submitted my stuff so Aetna gave authorization before I was ready. I had to have some gum surgery and I wanted to get that out of the way and heal before undergoing band surgery.

[rockdutchess82 2]

Instyle that sounds like my program with aetna how how many weeks before they gave you approval for surgery

[Instyle98 240]

I believe it was less than 2 weeks. It took 10 days or less I think. The approval came back before I was mentally ready for the surgery!

[rockdutchess82 2]

Wow good inspiration ...how about the two year history request they have??

[Instyle98 240]

There was a questionnaire I had to fill out for the center doing my surgery and for the psych evaluation and my PCP's office supplied records and I don't even see my PCP that often.

[dandaman4 7]

I have Aetna ppo........I've had 2 of the 3 pre op appts so far and don't have a clear sense of what happens next. I'm very close to low end of bmi so unsure if they will give me a hard time etc... Any ideas?

[Instyle98 240]

I would let the doctor's office handle it since they deal with this stuff on a daily basis. They should know what they need to submit and if denied, how to go about appealing. That's how they make their money so it's in their best interest to get you approved. If you're really worried, just keep checking in with them and ask what you can do to help.