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Excited Waiting For Gastric Sleeve Surgery Insurance Approval

so im done with the the 3 months of doctor/ nutritionist / psych visits ., had a sleep study an upper endoscopy and many other tests. I spoke with the obesity center and they said that they will submit for approval from my insurance in the next few days.. Im a little concern with getting this approved for my bmi is hovering right above 40 - 41 and have very few health issues other than high triglycerides and acid reflux.., My insurance is thru aetna .. Any one here had any issues getting approved through aetna ? .. Well wish me luck..

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Hello all, just a report that Aetna approved me on Monday (3 business days!!). I am happy glad!!!! I will pray for you to get your approval as quickly as I did. What's for you is for you!!! I am scheduled for Nov 9th. I started my 2 week liquid pre-op diet today. Going ok thus far. This is amazing-----our lives are about to change forever. Embrace your experiences.--Blessings2u--BJ

That is great news! I am still waiting. I emailed the insurance co ordinator, nothing from her either.

waiting is the worst!

  • Author

Update guys., Just got informed that i need to send out more documentation to aetna., seems easy enough just proof of weight for the last 2 years., still a waiting game.. Congrats to all who have gone to the next step... Thx for the support

I am praying for all of you. All that I need is my psych eval and the insurance approval. The insurance is the thing that is producing most of my anxiety - even more so than the surgery itself. I think in the coming years it will get even worse.

Update guys., Just got informed that i need to send out more documentation to aetna., seems easy enough just proof of weight for the last 2 years., still a waiting game.. Congrats to all who have gone to the next step... Thx for the support

Great!

Why wasn't this submitted from the beginning though? Aetna has this requirement posted on their website and my insurance coordinator made sure I had submitted everything to her before she sent in for approval. (Too late now for you, but perhaps others can learn from this).

I went through the EXACT same thing with Aetna. That was the last piece they wanted from my surgeon. The nurse practitioner gave it to them and I was approved in minutes. HAVE NO FEAR. As long as everything else is in compliance----you will be approved. My surgery is Nov 9th--Blessings2u--BJ

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Great!

Why wasn't this submitted from the beginning though? Aetna has this requirement posted on their website and my insurance coordinator made sure I had submitted everything to her before she sent in for approval. (Too late now for you, but perhaps others can learn from this).

According to the weight loss center aetna didnt require this because i did an accelerated 3 month program., I think that the weight loss center goofed up and now realizes it .. any how hope this wait is worth it..

Hey everyone, I have a question...

What constitutes as "proof" when they ask for the past 2 years of weight records? I have BCBS Federal and I want to know so in case they ask, I have it ready.

thanks!

According to the weight loss center aetna didnt require this because i did an accelerated 3 month program., I think that the weight loss center goofed up and now realizes it .. any how hope this wait is worth it..

Yep they goofed up. ARGH! It IS required by Aetna. It is on their website. I did the accelerated 3 month program too and had to provide 2009 & 10. Gosh I hope it goes smoothly now!!!

Hey everyone, I have a question...

What constitutes as "proof" when they ask for the past 2 years of weight records? I have BCBS Federal and I want to know so in case they ask, I have it ready.

thanks!

Why not call BCBS and ask what their requirements are? Aetna has them online. A rep. helped me find it on their website and for my particular plan. Your insurance coordinator should then confirm this info for you, so you don't have to be guessing.

To answer your question though, I had my primary doctor copy her charts with my weight on it. Search on this site, I think people have sent in gym records and such. Not sure. Best wishes!

They also requested my 2 year weight after they received my paperwork. Aetna called my surgeon contact, she gave it to them, and they gave her my approval code ----3 business days. You got this!!! Think positive. Blessings2u--BJ

I have BCBS and it was no problem for me getting approved....My problem was at the meeting with the surgeon they said I would have mine Mid-November, only to call me back and push it until January! I was so upset, I was mentally prepared for November, now I have 77 more days :( These last months are going to be tough but I'm sure it will be worth it when it's here!

  • Author

Hey everyone, I have a question...

What constitutes as "proof" when they ask for the past 2 years of weight records? I have BCBS Federal and I want to know so in case they ask, I have it ready.

thanks!

as for now all they requested was a letter from my pcp stating my previous wights for the past 2 yrs. but every ins. is different .. best of luck... ( nuthing yet guys )
  • Author

Hey Guys this is becoming a nightmare ... Just got off the phone with the Ins. and they are telling me that they want the doctors notes dating back from 2009 and 2010... crazy ..

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