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Any aetna better health patients?

A little nervous after signing my surgical consents today... Not because of the disclosures, but because the nurse navigator basically told me... The insurance may not approve because I had a gain. I was 303 at the start and am now 311... They are sending off for approval.... :-/ wondering if anyone with Aetna better health or medical assistance can ease my mind any... Surgery should be two weeks from tomorrow.

Edited by Sh3iz

  • Replies 9
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I would call the insurance company myself and ask them. Have you been exercising? Could that have caused the gain? Also will the Dr. weigh you again before they go to the insurance company to get the go ahead?

I have Aetna Be Well Premier so I don't know if that is the same thing. Can I ask you how much coverage you have with them? Mine pays 50% up to 10K. I'm trying to find someone with the same coverage so I will know how much my out of pocket will be.

  • Author

That is my last weight, they are sending off for the go ahead... Let's see what happens. They are said to cover 100%. I'm not sure what the cost is... Shouldn't a doctor be able to let ya know?

That is my last weight, they are sending off for the go ahead... Let's see what happens. They are said to cover 100%. I'm not sure what the cost is... Shouldn't a doctor be able to let ya know?

Have you heard anything yet? Fingers crossed for you. So crazy that you have to lose, you've tried your whole life to lose why is this any different! You need a tool that the sleeve will give you.

  • Author

Nothing yet... I'm kinda hoping they look at it that way:.. It's been a struggle and I dooooo just need this tool, fingers crossed...

  • Author

Approved and going in 5/27!!! Ugh thank god!!!

  • 2 weeks later...

I have Aetna and I called them 3 times and asked them about the 6 month supervised weigh ins and she each rep stated the same thing that my surgeon stated. They all stated that your first weigh in cannot be more than your starting weigh in. I wish I could ease your mind but with Aetna, yopu CANNOT gain weight at all. Not sure if it varies by states but I am in Virginia. My starting weight was on March 29th. My last weigh in will be August 29th. On March 29th I weighed 406lbs. So in August, I cannot weigh more than 406lbs.

Just read that you were approved. I am happy for you!!! =)

  • Author

Just read that you were approved. I am happy for you!!! =)

Thanx, yes I was actually sleeved a week ago tomorrow! All went well, good luck!!!

  • 1 month later...

I have Aetna and I called them 3 times and asked them about the 6 month supervised weigh ins and she each rep stated the same thing that my surgeon stated. They all stated that your first weigh in cannot be more than your starting weigh in. I wish I could ease your mind but with Aetna, yopu CANNOT gain weight at all. Not sure if it varies by states but I am in Virginia. My starting weight was on March 29th. My last weigh in will be August 29th. On March 29th I weighed 406lbs. So in August, I cannot weigh more than 406lbs.

What if in June you weight 410 but by August you are back down to 406? That's what I'm struggling to understand!

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