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Anyone have Aetna Insurance?



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Im just wondering do anyone have aetna and have been sleeved or has gotten and approval from them? If so what all do they require as in paper work? Do they ask for a 2 year weight history? Im asking because my husband wants to get sleeved but he is the type to not get sick and don't have a 2 year weight loss history. So anyone that can shed some light on this situation PLEASE let me know ASAP!! Thanks!!

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Im just wondering do anyone have aetna and have been sleeved or has gotten and approval from them? If so what all do they require as in paper work? Do they ask for a 2 year weight history? Im asking because my husband wants to get sleeved but he is the type to not get sick and don't have a 2 year weight loss history. So anyone that can shed some light on this situation PLEASE let me know ASAP!! Thanks!!

I have Aetna. As I remember, Aetna required 3 months supervised weight loss before surgery. As for the weight loss history, I don't know if it was my surgeon or Aetna that required it but all they did was contact my PCP which has records on me dating back to 2002.

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I have Aetna, surgery is Monday. If you google "Aetna weight loss surgery requirements" you should be able to pull up thier requirements. I believe they wanted a 5 year weight history. BMI of 40 or higher with no co-morbitities, 35 and higher with 2 co-morbitities. I had to do 3 months check in with my surgeon, 2 nutritionist visits and a psych evaluation.

After submitting everything the approval process to 4 weeks

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See my husband didn't go to the doctors. He had surgery abouy 7 or 8 years ago. They have his weight so he may be able to use that???? Hopefully it won't be any problems

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They required 90 days supervised diet and 2 years of weight history.

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C_TimesThree is correct. They will require a 2 year history. You can check with your employer to be sure but it's a general fact that insurance will want to see documented evidence of obesity for a certain timeperiod. Even though your husband saved them money by not going to the doctor -_- .

http://www.aetna.com...0_199/0157.html

^ this lists the general requirements. Good luck.

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Thanks guys...I just read that. Hopefully we can find a way to get that information for him so that will not keep him from being able to have the surgery. He isn't the type to get sick fast so he said he never had a reason to go to the doctor...MEN

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See my husband didn't go to the doctors. He had surgery abouy 7 or 8 years ago. They have his weight so he may be able to use that???? Hopefully it won't be any problems

I would think that would work.

And tell him to start going to the doctor more often! :lol:

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MEN

<_<

:lol:

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Yes that's what I told him. But he said if im not sick why spend unnecessary money..so I just left it alone...lol

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Yes that's what I told him. But he said if im not sick why spend unnecessary money..so I just left it alone...lol

If he's getting sleeved, he's going to get to know doctors REALLY well! :lol:

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I have Aetna and their was the 2 year requirement that my doctor's office "preached" about at the seminar. There was mention that it could be from anywhere like urgent care or such. Maybe you will will figure out a way around it, but I do remember that as a key data point.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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