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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
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Ikr im like dang lol but im so happy!! Cant wait until that date! Have you heard anything yet.

Ok so now i have good news. My surgeons office got their act together and submitted my paperwork on 11/30. I called Aetna to confirm and they infact have the paperwork. The Nurse even told me that I was next in line to be reviewed. Soooooo... Fingers crossed everyone! Hopefully i will hear something by the end of the week. Honestly, if it takes another 2 weks im fine with it. I am just glad it made it to its destination.

You've made it this far, this is the nail bitting stage but Aetna is fast and efficient you should here something soon. good luck:)

Just got denied again over 2009 weight not documented here I go again I dont think I will ever be approved with bcbsal....im going crazy

Just found out my surgery date is December 11! Woohoo! So excited and nervous all at the same time!

Just got denied again over 2009 weight not documented here I go again I dont think I will ever be approved with bcbsal....im going crazy

Is this on appeal?

Cathy, did bcbs require a 5 yr weight history?

Just got denied again over 2009 weight not documented here I go again I dont think I will ever be approved with bcbsal....im going crazy

Has your surgeon done a peer to peer with your insurance. I got denied with aetna at first because of weight for 2011 I had 09 2010 and 2012 but tlc surgery the place thats doing my surgery called and got me approved.

My dr. sent pictures because I did not have any office visits for 2009 now they still denied...

My dr. sent pictures because I did not have any office visits for 2009 now they still denied...

Sent pics of you? No no that wont do for the insurance they want your dr to call there medical director and advocate for you. They want to hear why u need the surgery and what will happen if u dont have it. However if u wait until 1/1/2013 the weight history will not require history for 09 it will only require u to have 2010, 11, 12 giving u 3 years!!

I talked to the insurance rep not my doctor so I dont know what they plan next I will find out tomorrow I do hope they call or something...

Just found out my surgery date is December 11! Woohoo! So excited and nervous all at the same time!

Congrats!!!

Does weight watchers count w atena?

Marie

As long as it shows your weight history.I used a the weightloss program for my history.

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