I feel like I'm jumping thru hoops for Aetna. I'm on month four of my six month supervised weight loss.....

Anyone else getting anxious with Aetna???? Help!!

My docs were submitted today and they have me booked for surgery on Jan30th. I have to admit I am sort of nervous. I got a billion things to do and I am just stress. >_<

My docs were submitted today and they have me booked for surgery on Jan30th. I have to admit I am sort of nervous. I got a billion things to do and I am just stress. >_<

Perez, you will be fine. Dont stress out too much. Once you get your approval all will be well!!

Thank you for the support. Hope it is @enuff

Thank you for the support. Hope it is @enuff

You got it all the way!

Aetna also has a 3 month program...was that an option? Maybe it's a different plan??? I only had to do 3 months before my band and this time for my sleeve.

What exactly did you have to do for the 3 months? Is it just a 3 mo pre op diet? or is it different, doing "surgical prep"(whatever that entails) & stuff? My BFF has aetna and we were confused when trying to read the requirements...

I too chose the 3 month option instead of the 6 month way... the difference is basically twice the amount of medical visits to various providers in a shorter amount of time... between logistics and and red tape, it was still 5 months between my info seminar ( March 29) first consultaion (April 17) until my actual surgery ( Aug 30) ... would've been longer but my surgeon had a cancellation....

my advice would be to schedule EVERYTHING early if you can... when I called for Psych appt, I was told there was a 3 month waiting list.... that could've pushed my date back a LOT but then, again there was a cancellation... I was a PAIN IN THE BUTT calling everyday trying to get squeezed in where I can.... I scheduled all of my future NUT appts at the same time,sometimes on the same day as my weight mgmt classes as these were usually in the daytime hours & I didnt want to keep taking days off work ..

anyway, back to your original question:

http://www.aetna.com/cpb/medical/data/100_199/0157.html

Member must meet either:

criterion 1 (physician-supervised nutrition and exercise program) for 6 consecutive months

or

criterion 2 (multi-disciplinary surgical preparatory regimen)..

3 weight management classes, 2 NUT classes ( one private, one group) plus pysch visit...

I did 1 Weight mgmt class per month and for 2 of those months I also had one NUT class each)

if you have receipts for 3 months of consistent gym membership payments, Aetna accepts those as 3 months weight management classes....

Oh and the weight management class... basically, they told you a bunch of crap you already know...eat less, smaller portions, exercise 20+ mins 3 times a week...

you were not required to lose weight but you self-reported any gains or losses and certified that you tried... you were asked to bring in a food journal for a typical day or 2 and they asked you to share & discuss what you couldve done better and what were you goals for the next month's class....

I have Aetna as well and I am so nervous I won't be approved. They have all this criteria before they approve it and when I tried speaking to the dr. Office they just kept saying "well take care of that" like ahh what does that mean! I have a date set and have been going to my appts and if I do not get approved I will be furious! Also with work I just can't keep switching things around which is another reason I am freaking out. Do they not even attempt to get approval until after all my appointments? I have secondary insurance which this dr seems to have a problem billing so I always get stuck paying then submitting a bunch of paperwork. This is like an insurance nightmare!!