Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

I have Aetna. I had to do 4 months with the dietician. Had the psych eval. Had the sleep study which I failed so had to get a machine. Had cardiac stress test because I am an ex smoker. Got my approval on September 20. Scheduled surgery for Oct. 7 after having the EGD and preop testing at the hospital. And here I am today, 3rd day postop. I just emailed Aetna with my policy information and got a response the next day with the approval. I knew before my doctor did.

Share this post


Link to post
Share on other sites

The last time I went to the doctor was in 2010, and I am done with everthing (6 mo) and ready to submit. My doctors office didn't let me know this when I started the process.

does you BMI in 2010 qualify you? is there any other record of your weight? Gym...

Share this post


Link to post
Share on other sites

Woot! Woot!...I got my approval frn aetna.surgey Oct 29 th so excited! Tht was fast 2 buss days!

I just got word that I was APPROVED!!! Surgery on Oct. 28th!!!! :-))))

Share this post


Link to post
Share on other sites

I have Aetna. I had to do 4 months with the dietician. Had the psych eval. Had the sleep study which I failed so had to get a machine. Had cardiac stress test because I am an ex smoker. Got my approval on September 20. Scheduled surgery for Oct. 7 after having the EGD and preop testing at the hospital. And here I am today, 3rd day postop. I just emailed Aetna with my policy information and got a response the next day with the approval. I knew before my doctor did.

Share this post


Link to post
Share on other sites

Your surgeon did your surgery without approval first???

Share this post


Link to post
Share on other sites

Yes...had to submit the 2 year weight history from my pcp.

Share this post


Link to post
Share on other sites

Absolutely. It is one of the requirements that you have 2 year history. I turned in 3 years. One think I did was call and ask a lot of questions prior to getting too involved. I asked to talked to someone that works with Bariatric patients and got an awesome person. I got her name/phone number and she called her every month.

Different companies must require different things. I did not have to submit a 2 yr history, and was approved today. Took 28 days from submission to approval (including weekends.)

Share this post


Link to post
Share on other sites

Different companies must require different things. I did not have to submit a 2 yr history, and was approved today. Took 28 days from submission to approval (including weekends.)

Aetna has a standard policy (google aetna clinical policy bulletin 0257) most companies will go with that...however an individual company can stipulate whatever they way.

Share this post


Link to post
Share on other sites

I am still waiting...so frustrated..

Share this post


Link to post
Share on other sites

That's why I emailed them to ask about the authorization.

Share this post


Link to post
Share on other sites

I am still waiting...so frustrated..

Me too this is making me sick to my stomach

Share this post


Link to post
Share on other sites

Aetna has a standard policy (google aetna clinical policy bulletin 0257) most companies will go with that...however an individual company can stipulate whatever they way.

On my Aetna policy it is bulletin 0157. I guess it makes sense since companies have different policies and coverage.

Share this post


Link to post
Share on other sites

On my Aetna policy it is bulletin 0157. I guess it makes sense since companies have different policies and coverage.

my bad typing on my phone it is 0157!

Share this post


Link to post
Share on other sites

Just found out my insurance is changing to bcbs of Texas Jan 1st..

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Stone Art By SKL

      Decorative Wall Cladding & Panels | Stone Art By SKL
      Elevate your space with Stone Art By SKL's decorative wall claddings & panels. Explore premium designs for timeless elegance.
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Losing my hair in clumps and still dealing with "stomach" issues from gallbladder removal surgery. On the positive side I'm doing better about meeting protein and water goals and taking my vitamins, so yay? 🤷‍♀️
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      · 0 replies
      1. This update has no replies.
    • Mr.Kantos

      Just signed up. Feeling optimistic.
      · 0 replies
      1. This update has no replies.
    • Frugal

      Welcome to Frugal Testing, where we are committed to revolutionizing the software testing landscape with our efficient and affordable solutions. As a pioneering company in this field, we understand the challenges faced by startups, small to medium-sized businesses and any organization working without budget constraints. Our mission is to deliver top-notch testing services that ensure the highest quality of software, all while keeping your costs in check.
      Frugal Testing offers a comprehensive suite of testing services tailored to meet diverse needs. Specializing in different types of testing including functional testing, automation testing, metaverse testing and D365 testing, we cover all bases to guarantee thorough software quality assurance. Our approach is not just about identifying bugs; it's about ensuring a seamless and superior user experience.
      Innovation is at the heart of what we do. By integrating the latest tools and technologies, many of which are cutting-edge open source solutions, we stay ahead in delivering efficient and effective testing services. This approach allows us to provide exceptional quality testing without the high costs typically associated with advanced testing methodologies.
      Understanding each client's unique needs is fundamental to our service delivery. At Frugal Testing, the focus is on creating customized testing strategies that align with specific business goals and budget requirements. This client-centric approach ensures that every testing solution is not only effective but also fully aligned with the client's objectives.
      Our team is our greatest asset. Composed of skilled professionals who are experts in the latest testing techniques and technologies, they bring dedication, expertise and a commitment to excellence in every project. This expertise ensures that our client’s software not only meets but often exceeds the highest standards of quality and performance.
      Frugal Testing is more than just a service provider; we are a partner in your success. With a blend of quality, innovation and cost-effectiveness, we are here to help you navigate the complexities of software testing, ensuring your product stands out in today's competitive market. 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×