Jump to content
×
Are you looking for the BariatricPal Store? Go now!

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



Recommended Posts

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

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!

Share this post


Link to post
Share on other sites

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

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

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

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

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

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!!!!!!!

Share this post


Link to post
Share on other sites

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

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

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

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

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

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

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

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • ChunkCat

      I have no clue where to upload this, so I'll put it here. This is pre-op vs the morning of my 6 month appointment! In office I weight 232, that's 88 lbs down since my highest weight, 75 lbs since my surgery weight! I can't believe this jacket fit... I am smaller now than the last time I was this size which the surgeon found really amusing. He's happy with where I am in my weight loss and estimates I'll be around 200 lbs by my 1 year anniversary! My lowest weight as an adult is 195, so that's pretty damn exciting to think I'll be near that at a year. Everything from there will be unknown territory!!

      · 2 replies
      1. AmberFL

        You look amazing!!! 😻 you have been killing it!

      2. NickelChip

        Congratulations! You're making excellent progress and looking amazing!

    • BeanitoDiego

      I changed my profile image to a molecule of protein. Why? Because I am certain that it saved my life.
      · 0 replies
      1. This update has no replies.
    • eclarke

      Two years out. Lost 120 , regained 5 lbs. Recently has a bout of Norovirus, lost 7 pounds in two days. Now my stomach feels like it did right after my surgery. Sore, sensitive to even water.  Anyone out there have a similar experience?
      · 0 replies
      1. This update has no replies.
    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 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

    ×