Well my surgeons office just called me they are submitting my paper work tomorrow for approval. Boy am I getting nervous. Maybe I shouldn't read so much on here and other forums. Keeping my fingers crossed. :rolleyes

Did you have any hoops to jump through?

Oh yea. I am trying for the 3 month approval program. It required 3 months medically supervised diet, behavior modification and exercise. Plus I had to meet the criteria to qualify as candidate for surgery. This is first submittal so I am hoping for the best. Do you have Aetna?

Yeah, just getting started myself, Aetna seems to suck...

If it is any consulation I have read about worse companys on here. LOL.

My paperwork was just sent Aetna POS II ,,I had to do the 3 month multi Dic*** jump thru hoops thing ,,well I hope Aetna POS is different.

OMG Aetna will not pay for fills in Texas!!!!!!!!!!!!!! they will pay for the band?

Do you mind my asking why they won't pay for fills?

I just called Aetna and they are saying it is inclusive to thier surgery rate. to break that down ,,the fill Docs want addtional $$ and Aetna is saying no we already paid you... Well boohoo and we are in the middle just needing fills. While I was on the phone they said my case is still under medical review and I should know by the end of the week!!!!!

I am so sorry how frustrating! I hope in the end it works out for your best interest. That might be a first.

How long after your paper work was turned in until you got approval for the band?

I called Aetna and my case is still under medical review they did receive the paperwork on 7/23/07, I should know somthing by this Friday. I am worried they will say no, this insurance gal says not to worry that she thinks it will be approved.

milehigh when are you going to complete your 3 months?

I finished in July and submitted paper work. GOT DENIED. I am going to send it to an advocate to see if they think I can win an appeal. The reason given over the phone was that I don't meet the criteria. I have been over 40 BMI for the last two years but only over 35 for the three before. I have borderline co-morbidities. It will be a fight but lots of people are cheering me on.

Have you heard anything yet?

:(I am sorry to hear you got denied,, that is a bummer don't give up. Aetna denied my sister last week because of a low BMI in 2003 when she was being treated for obesity,, but all other years her BMI was 40 +. She was told that a letter from her PCP would help and that is what she appealed with. Don't give up Milehigh that is what Aetna wants you to do.

I myself was approved yesturday and I am so excited, today I have started my liquid diet!!!!! :clap2::clap2::clap2::clap2::clap2:

I am so glad you got a quick approval. I should know better I can never do anything the easy way. I am just trying to keep up the spirits until I get the letter and can take the next step. Keep me posted on how you are doing.

Lisa:clap2:

I Just Got My Approval! I Also Have Atena Pos.