Anyone had any problems with their surgery being covered by Aetna? Any restrictions etc?

Thats why I'm going to have this done now because with my family history it's only a matter of time. Please keep me posted. Good luck to you.

I have Aetna POS and my doctor's office also says a three month program is what is required. I begin that on Monday. So far, I've done the sleep Study and the Psyche Eval as well as blood work and had an endoscopy.

5 years ago I tried and was denied -- since then I've developed diabetes, GERD, high cholesterol and a heart condition -- seems to me like it would've been cheaper for them to have approved my surgery back then!

Thats why I'm going to have this done now because with my family history it's only a matter of time. Please keep me posted. Good luck to you.

Right -- I have a sister who's 11 years older than I am.

I've watched the onset of her diabetes and the resulting neuropathy. Three years ago she had a double bypass at 52 and is STILL trying to get on disability. Now she has cellulitis on both legs and is undergoing treatment for that.

My mother had had diabetes for many years before it was diagnosed. (The woman NEVER went to the doctor!) And died from strokes.

I hope if the lap-banding procedure can help me lose about 100-150 lbs I can avoid some or all of those nightmares.

Why were you denied the other two times?

The first time was no sleep study, and the second was the 6 month diet which I did, and they still refused, so I just gave up and did the self pay, I have a fatty lliver and I have to get my weight down because of that, or I could be facing a liver transplant in 10 years.

I have Aetna PPO also and was approved pretty quick. I did the 3 month presurgery approval. My doctor was ready and had me go thru the complete set of tests. Cardiac, hemotology, sleep study stress test, phsych testing, going over all my meds, family history, medical history etc. It worked. Talk to your doctor and start setting up appointments. I found that Aetna wants all of the ducks in a row.

Good luck. It will be fine.

:faint: I have Aetna EPO and submitted to my insurance company last week. Please pray for me! I am so nervous- I can't t think straight!?!?!

I'll keep my fingers crossed and say a strong prayer for you jeejee.

Stay positive.

Oh my goodness now I'm panicking! I have Aetna EPO and submitted to my insurance company last week after a 3 month supervised diet. I have a BMI of 38, sleep apnea, acid reflux, and over 5 years worth of documents from my PCP with my continued yo-yo dieting... I hope I'm approved??? What does everyone else think? Please help!

Thanks Stein!

jeejee just make sure you let us know what happens.

I found that Aetna wants all of the ducks in a row.

I'm just so skeptical that they're ever going to approve me -- I'm flat out sabotaging my 90 day supervised diet!!! And I know its because if I do it and lose a little, I'll get my hopes way up. By shooting myself in the foot, I can't get let down and lower than I already am.

I'm SO tired of how this all plays with me head!

Doesn't that just piss you off that they won't talk to you? I mean we are the one pays them a but load of money every paycheck and your telling me you won't tell me the criteria. I had the same thing happen to me but I have Atnea pos. Sorry I just needed to vent.

I have aetna ppo also. I know they cover the surgery. but, when u call they won't tell u the criteria. so, they tell u your dr. should know. my surgeon appt is in March. Hr said if i get denied after they put it in.. they will corporate then.. to find out exactly. I think insurance is going to hold me back. good luck.

Minnie:)

I you don't mind me asking why were you denied the other 2 times?

I was denied last year 2 times, so I have now done the 6 month doctor supervised diet. I have had the sleep study done, now I wonder what the reason will be for the next denial?

So hows everything going with you and your insurrance? My paperwork will be sent in on Monday. I also have Atnea pos. I am so nervous.

I have Aetna POS and my doctor's office also says a three month program is what is required. I begin that on Monday. So far, I've done the sleep Study and the Psyche Eval as well as blood work and had an endoscopy.

5 years ago I tried and was denied -- since then I've developed diabetes, GERD, high cholesterol and a heart condition -- seems to me like it would've been cheaper for them to have approved my surgery back then!

Have you heard anything?

:faint: I have Aetna EPO and submitted to my insurance company last week. Please pray for me! I am so nervous- I can't t think straight!?!?!