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Aetna... I Want To Cry!

I have a Bmi of 35. Aetna requires a co morbid condition for a BMI under 40. I have to show a weight for 2 years but do I also have to show the co morbid condition for 2 years? I have high blood pressure but I haven't had it for 2 years. I'm scared because I have done everything including the weight management class. Im scared I will be in vain. Anyone know if u can still be approved if ur co morbid condition is not 2 years old?

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  • daedreams
    daedreams

    Seven years ago i jumped thru all the hoops and was still denied for the lap band. On June 25th, 2012 I will be having a sleeve done with Dr. Garcia. I was greatly hurt when i was denied but am grate

  • How nice, I am a June 25 with Dr. Garcia

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I don't know (because I don't have that insurance), but I would thinks so. It shows a decline in your health condition due to the weight.

WOW.. I don't know.. sorry.. maybe you can call and ask them?? Do they have any explanations on their website??

I have Aetna. I had the sleep study done in September, 2011 and was diagnosed with sleep apnea. I did not have any other co-morbidities so I did not have two years worth of documentation on that. I did have the two years weight history. I completed my three month nutrition program in December. I was approved within two weeks and had surgery on 1/30.

that sounds like the guidelines of Kaiser through feds... it sucks but I didnt get approved because it was not two years and I didnt have 2 comorbidities... issurances are evil

I have a Bmi of 35. Aetna requires a co morbid condition for a BMI under 40. I have to show a weight for 2 years but do I also have to show the co morbid condition for 2 years? I have high blood pressure but I haven't had it for 2 years. I'm scared because I have done everything including the weight management class. Im scared I will be in vain. Anyone know if u can still be approved if ur co morbid condition is not 2 years old?

I don't believe you have to have had the co-morbidity for 2+years. I didn't have to worry about this as my BMI was way over 40, but it wouldn't make sense for you to have to have the problem that long before surgery is allowed. Please don't be scared or worried that it will be in vain. It would suck if you were denied, but then you will appeal it and you will fight for it! This whole process is a learning experience and will never have been in vain. If they deny you this year, keep doing it until you get it. I will say, based on what you've provided, I don't think they will deny you.

Good luck!

Seven years ago i jumped thru all the hoops and was still denied for the lap band. On June 25th, 2012

I will be having a sleeve done with Dr. Garcia. I was greatly hurt when i was denied but am grateful

I am not having to live with a lap band. Glad to be joining the sleevers soon. I believe now it happened for

a reason.

Seven years ago i jumped thru all the hoops and was still denied for the lap band. On June 25th' date=' 2012

I will be having a sleeve done with Dr. Garcia. I was greatly hurt when i was denied but am grateful

I am not having to live with a lap band. Glad to be joining the sleevers soon. I believe now it happened for

a reason.[/quote']

Yes!! Everything does happen for a reason !! My insurance didn't cover LapBand back in 09 but I'm doing a self pay for the Sleeve. I know this is for me.

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