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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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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!

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?

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

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!!!! :(

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

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

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!!!!!!!

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!

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

  • 3 weeks later...

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

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!!!!!!!!!!

  • 3 weeks later...

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

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

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

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

What's involved in a peer to peer?

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