For those with Aetna .....How many weights did you actually have to submit prior to surgery..beyond the 6 months directly preceding surgery. I am concerned as I had a period of time ( one weigh in ) 16 months ago where I dipped below my required 40 bmi. ( it went to 38) Do I just have to submit one weigh in record from 2012 as an example? I am struggling to get these answers directly from Aetna. I do not want to go through the next 6 months and get everything done to find out one weigh in is going to disqualify me. I would rather wait three additional months to begin the 6 month pre-surgery requirements and know all my weights are qualifiers.

I don't think I would worry too much about having one weight that was lower. The insurance company may well consider it as proof of being unable to lose weight and maintain the loss. I had the same type of drop in my weight from weight watchers, but then regained the weight. I was self pay, as my Aetna did not cover WLS, so I didn't have to worry about meeting their requirements.

Finally got my answers! The sad thing is after going through 4 different people at Aetna and getting assigned a case manager I was told to calling billing at my surgeon. One would think Aetna would be the to talk to about Aetna policy.

But for any others that may at some point be seeking the answer you need just ONE weight from each of two previous years. Now here is hoping I gained enough of my 135 pound loss back by the end of 2012 to give me the 40 bmi!