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

My paperwork was officially submitted to Aetna yesterday, so while I am twiddling my thumbs waiting to hear something (an approval, HOPE-HOPE-HOPE!), please share your Aetna experience!

  1. How long did it take for you to get an answer once your paperwork was submitted?
  2. Has anyone with a high BMI and co-morbidities been denied? If so, why?
  3. Do your ears hang low, do they wobble to and fro? <g>

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Featured Replies

I got my 1st approval letter in the mail on 12/24/12....so excited! Aetna approved me for a 1 night stay coverage approved for laparoscopy, surgical, gastric restrictive procedure; longitudin al gastrectomy (sleeve gastrectomy). It took a little longer than I thought it would, like almost 3 wks to even hear anything. Now just got to talk with the patient coordinator either 12/26 or 12/27, when she get's back in the office to schedule my drs. consults.

But I am a little worried since my surgery wont be until 2013, will I have to start back over on my deductible?

I got my 1st approval letter in the mail on 12/24/12....so excited! Aetna approved me for a 1 night stay coverage approved for laparoscopy' date=' surgical, gastric restrictive procedure; longitudin al gastrectomy (sleeve gastrectomy). It took a little longer than I thought it would, like almost 3 wks to even hear anything. Now just got to talk with the patient coordinator either 12/26 or 12/27, when she get's back in the office to schedule my drs. consults.

But I am a little worried since my surgery wont be until 2013, will I have to start back over on my deductible?[/quote']

Congrats on your approval. You got a great Christmas present. I'm a little confused as to how the deductible thing works. I spoke to someone at my job who told me if I'm getting surgery get the low deductible which for my plan is 550 but I pay more per week. No worries tho I get a nice sized income tax because of my kiddies I was gonna use some of that to cover. And if not I heard hospitals will make payment plans with you. I live in Nyc so anything helps.

Congrats on your approval. You got a great Christmas present. I'm a little confused as to how the deductible thing works. I spoke to someone at my job who told me if I'm getting surgery get the low deductible which for my plan is 550 but I pay more per week. No worries tho I get a nice sized income tax because of my kiddies I was gonna use some of that to cover. And if not I heard hospitals will make payment plans with you. I live in Nyc so anything helps.

Yeah i'm not too sure on the deductible thing either, but that's a good thing that some hospitals will make payment plans with you on a deductible. I'm getting my surgery in Oxford, Ms. But no matter what, I'm determined to get it done!

I think deductible starts every year so unless u can have the surgeon schedule u in the next few days u have to start over. January 1 is normally the start of insurance deductible or some places its the anniversary of the first month u started receiving insurance.

I got my 1st approval letter in the mail on 12/24/12....so excited! Aetna approved me for a 1 night stay coverage approved for laparoscopy' date=' surgical, gastric restrictive procedure; longitudin al gastrectomy (sleeve gastrectomy). It took a little longer than I thought it would, like almost 3 wks to even hear anything. Now just got to talk with the patient coordinator either 12/26 or 12/27, when she get's back in the office to schedule my drs. consults.

But I am a little worried since my surgery wont be until 2013, will I have to start back over on my deductible?[/quote']

Congrats on the approval!!Now on to the next steps your almost there.Im not sure about the insurance but I know Aetna would be able to answer that best or call your doctor's office

Headed to the hospital, time to get sleeved

Headed to the hospital' date=' time to get sleeved[/quote']

Im on the way as well surgery scheduled for 10:00am:)

COOL! Mine is set for 7:30am. Praying for you and all others getting sleeved today

Im on the way as well surgery scheduled for 10:00am:)

Good luck am very interested in following your journey I should be in January I'm waiting on approval

COOL! Mine is set for 7:30am. Praying for you and all others getting sleeved today

Good luck

Got my approval conf today. How long for approval letter?

Got my approval today as well congrats to u

Thanks waiting for letter. How long does it take?

I don't have letter I called the insurance company but I guess that's what I'm waiting for

my doctors submitted their letter oct 20th, I got my approval by november 5th. They sent me and my wls center copies. they didn't call me I called them to verify they got it. You know they may take their sweet time getting to you but after the 6 month wait I was done being patient....of course I found out the earliest I could get was feb 5 surgery date anyway but still, if I'd waited til they called me I might not have been scheduled til march!

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