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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>

  • Replies 242
  • Views 34.8k
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Featured Replies

  • 1 month later...

Bumping back up :)

I have my psychologist, nutritionist & PT appointments tomorrow with my final appointment on April 11th and then it's off to Aetna. SOOOOOOOOOOOO beyond nervous. Any other Aetna updates :D

I finally was approved!!! :) AND...I will be sleeved one week from today, which will be exactly to the day, 15 months since I started this whole process!!

Good luck to all. Aetna is great @ approving. You should have no problem. I will be sleeved next week tuesday. Cant wait.

I just called Aetna and they just received my precert yesterday. The doctors office never sent it out when they were suppose to. I spike with a rep and he stated that its under nurse review. I am praying that I get approved.

I am tracking down my two years of weight and I will be submitting to insurance next week. Wish me luck in 2011 I did a medically supervised diet an lost some weight and got my BMI to 30 although it did not last long I am hoping it does not affect my approval

ps.

my BMI is 39 and I have sleep apnea...

I have been dealing with Aetna and the Doctors office. I am supposed to have my surgery a week from today and they denied the pre cert on Monday because I guess 3 months of weigh in is not 90 days. Between dealing with them and the surgeons office, I am driving myself crazy. My insurance is ending the end of the month and the coverage is much better with this plan versus my husbands. It has just been a nightmare. I have spent so much time with Aetna and getting the run around. We are just trying to schedule a peer review and you can't get anyone live. This week is not looking like it will happen. So frustrating.

I have been dealing with Aetna and the Doctors office. I am supposed to have my surgery a week from today and they denied the pre cert on Monday because I guess 3 months of weigh in is not 90 days. Between dealing with them and the surgeons office' date=' I am driving myself crazy. My insurance is ending the end of the month and the coverage is much better with this plan versus my husbands. It has just been a nightmare. I have spent so much time with Aetna and getting the run around. We are just trying to schedule a peer review and you can't get anyone live. This week is not looking like it will happen. So frustrating.[/quote']

Oh man...I feel for ya. That's what happened to me. I 1st was supposed to have it in October, but was req'd additional cardio testing due to family history. That took too long to schedule in, so it was pushed to Dec. 2 weeks before, they said they were missing part of the 2 year history. All the way up to mid-Feb I still wasn't sure it ever would happen bc time was running out on the appeal. It was so depressing, chaotic, unnerving...you name it!

  • 3 weeks later...

My info was submitted to Atena Friday. I'm so excited and nervous. Hope to hear something soon. I'm wanting to wait until the end out May first of June to have my surgery anyway. School gets out then and I will be able to spend some time with my kiddo.

I was denied twice by Aetna. I just found out today that my appeal was approved. Thank God!!!!

I was denied twice by Aetna. I just found out today that my appeal was approved. Thank God!!!!

Yay....do u have a date?

Process went fairly smooth for me. Before searching for a surgeon I inquired with Aetna to see what their qualification were since all plans are different. For my specific plan I had to get a psy, pulmonary and meet with my surgeon 3 times for 90 days to discuss weight nutrition and ect. Oh and also 2 years of weight history. It took four days for an approval. I was sleeved on 4/1/13 ;) Start to finish took 4 months which includes the 3 months of visits with my surgeon. Good Luck to all those waiting for an appoval

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!!

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!

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