Aetna Sleevers - Share Your Approval And/or Denial Experiences Here!

[itstimeforachange 18]

What exactly does atena ask u to do?

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Marie

6 months with a nutritionist, 2years weight history And a letter from Primary and you history of trying to loose weight over the years. If you go to Aetna.com and look up bariatric bulletin it will give you more details.

[Raven21 121]

Or you can do the 90 day plan with nutrition, behavior mod, exercise counseling, etc. You MUST have a documented weight from each of the previous 2 years. And BMI 40+ or 35+ with at least 2 significant comorbidities.

[goldiva 26]

It can vary based on your medical history. I have no medical issues however my BMI is 35 so I had to submit 6 months with primary 2 years weight history,gall bladder scan,hpylori screen psych eval,approved within 8 days

[enuff_is_enuff 126]

Congrats

[HeadMistress 35]

OMG I GOT APPROVED ON APPEAL!!! IM SO HAPPY I WAS CRYING! OMG GOD IS SO GOOD

[enuff_is_enuff 126]

Congrats HeadMistress! I can give you what is left of my positive energy for the day! Be safe in your journey and I wish you all the best

[Hopeful loser 22]

I had a great experience with Aetna. Individual companies can also put their own spin on procedures too, as mine did. I had a 6 month mandatory Dr. supervised diet I had to do, as well as psych, drug testing and a couple of other things. I had also done a medically supervised weight loss program for a couple of months during last year's holiday season, which actually counted in my favor, as it was all in the last 12 months, so I was able to pull all this together, have my Dr. run the tests in her office, write her letter of support, send all that over to Aetna, call my Aetna contact, make sure she got the paperwork and have it approved very quickly once they received everything. They were very helpful. I'm sure it helps to be kind too.

[enuff_is_enuff 126]

I had a great experience with Aetna. Individual companies can also put their own spin on procedures too, as mine did. I had a 6 month mandatory Dr. supervised diet I had to do, as well as psych, drug testing and a couple of other things. I had also done a medically supervised weight loss program for a couple of months during last year's holiday season, which actually counted in my favor, as it was all in the last 12 months, so I was able to pull all this together, have my Dr. run the tests in her office, write her letter of support, send all that over to Aetna, call my Aetna contact, make sure she got the paperwork and have it approved very quickly once they received everything. They were very helpful. I'm sure it helps to be kind too.

-- Are you refering to you being kind or the Aetna reps?

[goldiva 26]

Today, 1:33 PM

Congrats!!! Head Mistress So happy for you, have you been scheduled yet?

[HeadMistress 35]

Congrats HeadMistress! I can give you what is left of my positive energy for the day! Be safe in your journey and I wish you all the best

Thanks so much im so ready

[HeadMistress 35]

Today' date=' 1:33 PM

Congrats!!! Head Mistress So happy for you, have you been scheduled yet?[/quote']

Not yet waiting on the billing manager to call and tell me my copay I already met my deductible with aetna so they said its like 113.00 for my surgeon which isnt bad at all... I dont know how much the hospital is going to charge me. I dont care when my date is so long as its before Jan 1 2013 lol I have to meet up with my surgeon one more time next week so he can explain everything. Then 2 week liquid diet then surgery!!!!!!!

[minimii 43]

I'm so depressed, It's 10 days now and still no decision from the insurance. I have to get this done in December because my benefits change in January and I will have to start the process all over again :'(

[itstimeforachange 18]

I'm so depressed' date=' It's 10 days now and still no decision from the insurance. I have to get this done in December because my benefits change in January and I will have to start the process all over again :'([/quote']

It took 10days for the decision and 3 or 4 before I received my letter. Your doctors office is waiting on a letter. I suggest you call.

[minimii 43]

Well after a 30 minute conversation with the Aetna, I found out the following… my paperwork was submitted on Nov 15th but Aetna started working on it on the 19th. Sooo, my 7-10 day turn around has been delayed by roughly 2/3 days due to the holidays and the fact its currently in a nurse work queue with lots of other people waiting for approve before the end of the year

AND my doctor’s office gave them Dec 20th as the procedure date – how interesting; they haven’t said a word to me about a potential day

[goldiva 26]

Not yet waiting on the billing manager to call and tell me my copay I already met my deductible with aetna so they said its like 113.00 for my surgeon which isnt bad at all... I dont know how much the hospital is going to charge me. I dont care when my date is so long as its before Jan 1 2013 lol I have to meet up with my surgeon one more time next week so he can explain everything. Then 2 week liquid diet then surgery!!!!!!!

Yeah, its sounds like we should be sleeved about the same time, can't wait:)