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

Impatiently waiting for Aetna



Recommended Posts

Not yet. I plan on calling today around 5

Share this post


Link to post
Share on other sites

I finally heard back from Aetna and I got approved!!!! ????

Share this post


Link to post
Share on other sites

I called and still pending..not sure if thats good or bad

Share this post


Link to post
Share on other sites

Shelley_38 congrats..how long did it take Aetna?

Share this post


Link to post
Share on other sites

I originally had Aetna when I started my process, they denied my sleep study (had to have a home test) but I do have it after the test, BMI was 36, high blood pressure, Hyper Tension and a constant struggle with knee joint pain after 2 surgeries. Aetna denied me..flat out said I had not been overweight for more than 2 years because in 2011 my BMI dropped to 34.7.. SMDH, I was so upset because they denied me 1 week prior to surgery.

I switched insurances and transferred all my records and was approved...it's been a long 10 months of drama but I'm now scheduled for 10/23 and so excited. I'm telling you..whoever thinks this is an easy route,..better think again. It's hard BEFORE the lifestyle change occurs completely.

Good Luck though you sound like you won't run into the same drama as I did, and again I'm a fi believer that everything happens for a reason, since my first denial they found a cyst in my belly that is causing a fuss that will also be removed when I get sleeved...I'm so glad because I would have had to have 2 separate surgeries.

Well Wishes,

K

Share this post


Link to post
Share on other sites

Congrats on your approval! Here's hoping that I get the same news very soon!

Your approval is coming shortly! :D

Share this post


Link to post
Share on other sites

Shelley_38 congrats..how long did it take Aetna?

My paperwork was submitted on Sept. 25 and approved on Oct. 4th (7 business days)

Share this post


Link to post
Share on other sites

I called and still pending..not sure if thats good or bad

When did your surgeon submit your paperwork?

Share this post


Link to post
Share on other sites

Last Thursday

Share this post


Link to post
Share on other sites

You might hear something on Monday or Tuesday. My surgeon's office sent my paperwork in two pieces, the paperwork requesting the surgery (Sept. 25) and clinicals on Sept. 26th.

Share this post


Link to post
Share on other sites

They submitted it all at once with a surgery date of Oct 16...

Share this post


Link to post
Share on other sites

Aetna has 14 days to respond to the request for approval. It took exactly 14 days for Aetna to notify my surgeon of approval.

I have a bmi of 45 and have been over 40 for the past 2 years, but have no co morbidities.

My surgery is scheduled for Oct 11th. I'm so excited.

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

    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 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

    ×