Does anyone have Aetna? I just started the process and have been told if I am medically cleared and have 3 nutrition weigh in weight loss attempt visits within 90 days Aetna will approve at 90 days otherwise I have to wait up to 6 months for them to consider me. Wondering if anyone else has Aetna and how their process went.

I have Aetna and mine went pretty fast. I finished all my testing and submitted the last test result to my patient advocate on Wednesday and I had my approval from my insurance the following Monday.

I have Aetna and mine went pretty fast. I finished all my testing and submitted the last test result to my patient advocate on Wednesday and I had my approval from my insurance the following Monday.

I am also a newbie, in addition to Nut visits , did you have to do any supervised exercise visits?

Just posted this in another thread:

Hi there! I have Aetna. I was required to do three months (90 days) of nutritional counseling with a nutritionist or go on a six-month physician-supervised diet. I went with the three months with a nut. Btw, I was required to do 90 days, from the first appointment to the last. I had to add an extra appointment to meet that requirement. I did not have to do any kind of supervised exercise. My other requirements were 1. records of my weight a year ago and two years ago 2. psych eval. Hope this helps!

To clarify, I went to a nut who was well-versed in my insurance requirements. She took care of everything. She was recommended to me by my surgeon. He sends many patients her way, so that's why she's in the know.

PS Things went pretty smoothly with them. It probably helped I had this nut who knew what she was doing as well as the insurance coordinator for my surgeon who is awesome. Aetna approved my surgery two days after my paperwork was submitted.

Just posted this in another thread:

Hi there! I have Aetna. I was required to do three months (90 days) of nutritional counseling with a nutritionist or go on a six-month physician-supervised diet. I went with the three months with a nut. Btw, I was required to do 90 days, from the first appointment to the last. I had to add an extra appointment to meet that requirement. I did not have to do any kind of supervised exercise. My other requirements were 1. records of my weight a year ago and two years ago 2. psych eval. Hope this helps!

To clarify, I went to a nut who was well-versed in my insurance requirements. She took care of everything. She was recommended to me by my surgeon. He sends many patients her way, so that's why she's in the know.

Thank You!

Thanks sounds like my NUT knows her stuff too so far she has scheduled me 2 follow ups within 90 days for total of 3. I was already cleared by the Psych and met with surgeon already. Hopefully by blood work and ekg come.back ok and after 90 fills days it's smooth sailing. Here's to hoping and praying. Thanks again.

Good luck to you both!

I have Aetna Choice POS II. I too had the option between a 90 day multi-disciplinary program or a 6 month program with a physician. I chose the 90 day multi disciplinary program at a Bariatric Center of Excellence. Which I must say is the best way to go. Absolutely everything is in the same place. My 90 days worked out to be 4 total visits to meet the requirement. Each of my visits I would meet with my surgeon, the nutritionist, and the surgery coordinator (she handles insurance as well). In addition to my 4 visits within the 90 days I also had to have a Bariatric Psych Evaluation and provide 2 years of weight history. I submitted to Insurance on August 17th and received my yes from Insurance on Wednesday August 26th. My surgery is on October 20th. My best advice for anyone just starting the process would be to call your insurance directly to confirm the requirements and soak up as much information as possible about how your new life will be. Best of Luck to you!

Funkecoldmedia

What is the difference between multi-disciplinary program and 6mths program by a physican? I gave the same aetna insurance and I'm going thru st vincent charity hospital bariatric center of excellence. I wonder if I'll b given the option. I'll take it of course.

I have Aetna and did the 90 day multi-disciplinary program. It actually too 4 months to complete all the required visits at the right 30 day intervals. Once all completed, approval took 10 days.

I have Aetna as well, and am nearing the end of my 90 day multidisciplinary program. I really freaked out about the 90 day thing, because I kind of wanted the 6 months to fully wrap my head around the whole thing and find some support-so far it's just me, a semi supportive husband, my kids, 2 friends who live across the country and the wonderful people here at bariatric pal. The program itself has been pretty easy. The first step was meeting with the NUT for our appts. We have them at 45 day intervals. I've done 2 already and my 3rd is just around the corner on the 29th. Usually we talk a lot about what's going on and what to do to train myself for life after surgery like dedicated exercise, eating balanced and Protein first, not drinking with meals, etc. I've also completed and shocking passed my psych eval which for me, was the single worst part about the whole process. I was so stressed, but it worked out just fine. So don't stress it. We should have all our papers and stuff together for submittable on Oct. 5th and praying and hoping I can get approved fairly quickly. My doctor runs a small private practice in addition to working for kaiser permanente, so he doesn't have a long waiting list after approval, so it could be as soon as 10days after approval for me. I'm definitely ready although, I just wish now it would hurry up and get here. I can't imagine electively choosing to wait the 6 months over the 90 day program. I don't think it would really net you anything at all. If you have the choice, just go the 90 days.

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Edited September 14, 201510 yr by CHELLB33

I have Aetna and did the 90 days preparation for surgery. I was approved in days. Aetna is pretty easy as long as you meet the qualifications. I've only seen denials for people that had lower BMIs but they were approved after appealing.

I get to see my surgeon this thrusday for consultation. This 1st appt after the seminar. I wonder what options and what we'll discuss. I want to pick 90 program. Want to get it started. I'm not impatient, but ready.

If it is true 90 days out would put me at Dec - Jan (4th mnth) I don't know if my husband n kids r ready for it so soon. Maybe 6mths for them.

Edited September 14, 201510 yr by ychani

I get to see my surgeon this thrusday for consultation. This 1st appt after the seminar. I wonder what options and what we'll discuss. I want to pick 90 program. Want to get it started. I'm not impatient, but ready.

If it is true 90 days out would put me at Dec - Jan (4th mnth) I don't know if my husband n kids r ready for it so soon. Maybe 6mths for them.

i thought the same thing in regards to my husband and kids. Originally I wanted to plan it after Christmas so I could have down time without effecting my husband's work schedule(he's off from mid Dec-Jan 2nd) and the kids would be on Christmas break and I wouldn't have to work school lessons around my ability to teach while recovering, but to my surprise, they have been really good about the whole process thus far. My husband actually came to me and told me he'd rather I go when I was finished with my 90 days and not try to wait it out til Dec. he's happy to take that time off. I also have been walking my kids through my steps and telling them what life will be like for me so they kind of understand and aren't scared.

As for the actual appt, I know they can vary greatly, but mine was pretty much what I expected. Started off with a visit with the in house NUT and we talked about my eating habits and she wrote that all down and she figured up about how many calories I was eating in a given day for the insurance. After that, I was weighed and the doctor came in. He looked at my 2pages of diet history and we talked about the various procedures and he asked me what I thought I wanted. He doesn't push a procedure on patients, but will tell his opinion on your choice type thing. I told him I was thinking rny because I know I have a lot to lose and I'm a sugar fiend and I heard that is the best option for people like me. He agreed. If you don't know what would be best, then you get a run down of all the procedures and a recommendation based on what he thinks, but I kind of already knew what I needed before I even hit the seminar. They took a brief medical history of me and my parents/siblings/grandparents/blood aunts/ uncles and cousins and used that to piece together what looks like strong evidence of a gene that is most commonly found in people of my lineage and who settled in the parts of the U.S. Where my people all came from which also supports that theory. Talked about what the surgery would and would not do. Chose a starting goal for when we will consider the surgery having been successful. We talked about recovery time. We talked about the scars I already have from gall bladder surgery being a good roadmap and he'll try to use those scars and maybe just add one or two more. He let me ask questions. I ask weird stuff when I'm nervous so I tried not to ask anything. I already made myself known at the seminar with my oddball questions and he remembered me on sight so, yeah, good impression there! LOL but overall, it was nothing new or unexpected except at the end he said I'd be doing a 90 day program instead of the 6 months I had planned in my head so that made me kind of swoon a bit. I'm glad now that it was only 90 days. I'm so ready to get this over with. Then at the end they gave me forms to get my medical records from my doctor and that was that. It's not painful, at least for me it wasn't.