Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🌈 "1 per Day!" Bariatric Multivitamins

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

funkeechiggen

Recommended Posts

Kelly33    4

Kelly33
Posted

My coordinator submitted to Aetna today for the second time. I was denied last year for a BMI <40 with no co-morbidity. I'm now 39+ BMI with sleep apnea. Yay for sleep apnea! Lol here's hoping for an approval this time!!

I have Aetna also and my BMI was 39 also have sleep apnea. Aetna then request 2 yrs weight history, once they got that I was approved the next day.

Good luck!

Share this post

Link to post
Share on other sites

brandyrn73    13

brandyrn73
Posted

Received the wonderful news today that my secondary insurance UHC has approved me!!! I haven't heard from Aetna yet. I'm so excited! It's been a 15 month process!

Kelly33 reacted to this

Share this post

Link to post
Share on other sites

shasha    5

shasha
Posted

Im still in pending with Aetna because i have a out of network doctor, do anybody have a ideal on how the approver process works?

Share this post

Link to post
Share on other sites

Caligirl530    6

Caligirl530
Posted

Im still in pending with Aetna because i have a out of network doctor' date=' do anybody have a ideal on how the approver process works?[/quote']

My doctor was out of network aldo but because he was the only one within 100 miles we got him approved as in network for the surgery

Share this post

Link to post
Share on other sites

brandyrn73    13

brandyrn73
Posted

I'm so freaking frustrated with this process it's not even funny. My coordinator told me yesterday that she won't schedule me with the surgeon because we haven't heard back from Aetna yet. DESPITE the fact I've been approved with my secondary (UHC). I feel like it's nothing but a big money making scheme. Hold out to see how much money they can get, who cares about the patient?! I called Aetna twice yesterday and they said it's still pending and could take approx 1 week. UHC approved me in a day. This has been a 15 month process and I feel like it's never going to happen!!!! :(

Share this post

Link to post
Share on other sites

shasha    5

shasha
Posted

My doctor was out of network aldo but because he was the only one within 100 miles we got him approved as in network for the surgery

Thanks for that info........I call Aetna again they told me it could take up to 15 days

Share this post

Link to post
Share on other sites

amgood    30

amgood
Posted

I got my approval on Friday from Aetna. It only took them7 days to approve it. I'm so excited.

Share this post

Link to post
Share on other sites

shasha    5

shasha
Posted

name='amgood' timestamp='1365999480' post='777962']

I got my approval on Friday from Aetna. It only took them7 days to approve it. I'm so excited.

[/b]

Yessssssss.....Im excited for you!!!!!!!

ChrisBthin reacted to this

Share this post

Link to post
Share on other sites

brandyrn73    13

brandyrn73
Posted

My coordinator submitted to Aetna today for the second time. I was denied last year for a BMI <40 with no co-morbidity. I'm now 39+ BMI with sleep apnea. Yay for sleep apnea! Lol here's hoping for an approval this time!!

DENIED again by Aetna. My BMI hasn't been 40 for two years, nor have I had my co morbidity (sleep apnea) for two years. Dropping them on my next open enrollment!

Share this post

Link to post
Share on other sites

amgood    30

amgood
Posted

I got scheduled for many surgery. Its going to be May 28th. I can't believe I'm going to be a May sleever.

Share this post

Link to post
Share on other sites

Miss Piggy    30

Miss Piggy
Posted

Initially denied....approved this morning after peer to peer!!!!!!!!!

37 BMI

Tons of comorbids but nothing that Aetna usually considers. So grateful!!

Tentative surgery date of June 5th

Share this post

Link to post
Share on other sites

shasha    5

shasha
Posted

That's Great....... I had a long battle with Aetna to but thank God i'm finally approve late week...Yessssss for us!!!!!

new look... new life... big and better here we come!!!!!!!!!!

Share this post

Link to post
Share on other sites

Bellanthin    112

Bellanthin
Posted

Denied by atena 39.5 bmi high cholestral n high blood pressure peer to peer was thurs no word yet

Share this post

Link to post
Share on other sites

ChrisBthin    44

ChrisBthin
Posted

My bmi is 49 do u think I will have a problem? I to have Aetna.Joint problems hbp in the pass...

Share this post

Link to post
Share on other sites

ChrisBthin    44

ChrisBthin
Posted

Its been 2 weeks since my stuff was sent to Aetna still haven't heard anything, surgery in 6 days ...

Share this post

Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
Go To Topic Listing Insurance & Financing

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
    • KimBaxleyWilson

      KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×