I started this journey in October 2012. This has been a strenuous process! There have been a lot of ups and downs and I hope they were worth it! I'm a state employee and this is their first year covering WLS. I had a 6 month weight management program requirement with 3 months being consecutive. My physicians office is unsure of what the insurance's mindset is regarding approval as there has been a lot of back and forth surrounding the requirements! I'm praying that God sees me through this 2 week waiting period!

I got and email from insurance coordinator today starting that my request for surgery wasn't submitted until today! She stated that there were technical difficulties that stopped her from submitting on 03/06/13. She didn't state what those technical difficulties were....so it's my guess that she just didn't submit as promised! It's only been a few hours since submitting and I'm overly anxious! I'm counting down the days until I hear the word approved!

I've been approved!!! I go this week to get my date! I'm so excited to get this show on the road!

Congrats. I fought with Aetna for 18 months before hiring a healthcare advocate and threatening to sue and to go to the media before I was approved.

Congrats. I fought with Aetna for 18 months before hiring a healthcare advocate and threatening to sue and to go to the media before I was approved.

I have Aetna...I am one more visit away from submitting. I have already confirmed that my plan covers WLS and my surgeon's office confirmed this and also confirmed a 3 month period of doctor visits and other requirements(which I have met, including a letter from my primary doctor recommending WLS) My BMI is 41, my suregon and insurance coordinator seem confident that I will be approved. Can I ask why you were denied for 18 months? None of my business really I am just curious/worried about what I may be up against.

I was denied twice because I had no other illnesses. I do not have high blood pressure, diabetes, or sleep apnea, so I was deemed too healthy. This even though I have been up and down my entire adult life and had a bmi of 49. I ultimately hired a healthcare advocate who helped me fight them and finally got approved.

I was denied twice because I had no other illnesses. I do not have high blood pressure, diabetes, or sleep apnea, so I was deemed too healthy. This even though I have been up and down my entire adult life and had a bmi of 49. I ultimately hired a healthcare advocate who helped me fight them and finally got approved.

well that is very discouraging. I know all health insurance plans are different depending on what your employer chooses. Everything I have read about Aetna says BMI of 40+ or 35 + with co-morbitities. I certainly hope my surgeon and insurance coordinator wouldn't waste their time or mine. Keeping my fingers crossed and happy you are finally approved.

Thank you and best wishes to you. I work for a fortune 40 insurance company so coverage was not an issue. Aetna was just being a jerk about. My company guideline deemed a bmi of 40 sufficient enough will no other comorbities.

I've been approved!!! I go this week to get my date! I'm so excited to get this show on the road!

I'm so happy for you ! Congratulations!

I'm so happy for you ! Congratulations!

Thank you!!