Anyone else have an Aetna HMO? I'm in the middle of the 3 month process, has it worked out for anyone yet? Scared I will spend all this money in copays and then will get denied...

I have Coventry which is really Aetna. No problems did 3 month supervised weight loss period, psych consult, letter from Surgeon & me& preop testing & was approved for sleeve in a month! Wishing you an easy approval!

I have Aetna. Did the 3 month multi-disciplinary requirements. Approved 4 days after my dr office submitted to insurance. No issues at all. I had no net weight gain during the 3 month period and was over 41BMI at the beginning.

I have Aetna and I am so afraid they will decide I don't need it. I have asthma, reflux, sleep apnea and osteoarthritis. How many hoops will I have to go through and will they keep adding stuff for me to do. Please Help

I have Aetna as well but my insurance requires me to do a 6 month pre op diet. I wish I only had to do the 3 month

I have Coventry also which is now Aetna. I had a 6 month supervised diet I had to do as well as psych evaluation and various other testing. My insurance seems to take forever to approve of referrals and to approve of the surgery. I am thankful they did approve it. I tried in 2008 to get the lap band and the insurance I had at that time would not approve it. After hearing about all the revisions of lap band to sleeve I am kind of glad the previous insurance didn't approve of the surgery. My surgery date is Jan 26th and I have been approved for 1 night in the hospital.

I have Aetna as well. I am brand new to the process. I had a surgeons appt scheduled yesterday, arrived at the appt and was told the surgeon had an emergency surgery. Talk about a let down. Anyhow, I have been rescheduled in 2 weeks. BUT, I already had my nutritionist appt scheduled for this Tuesday. My concern is that I am close to that 40 Bmi. I don't want to start a nutrition program 10 days prior to my surgeons appt if the surgeons starting weight is the one insurance companies go by. I asked the nutritionist office and they couldn't confirm either way, if their weight would count or the surgeons would count. I guess I could go and just wait to start the nutrition plan. Or should I just postpone the nutrition. Is it okay to lose weight prior to surgery, especially if you drop below the 40 Bmi? Sorry for all the questions.

I have Aetna as well. I am brand new to the process. I had a surgeons appt scheduled yesterday, arrived at the appt and was told the surgeon had an emergency surgery. Talk about a let down. Anyhow, I have been rescheduled in 2 weeks. BUT, I already had my nutritionist appt scheduled for this Tuesday. My concern is that I am close to that 40 Bmi. I don't want to start a nutrition program 10 days prior to my surgeons appt if the surgeons starting weight is the one insurance companies go by. I asked the nutritionist office and they couldn't confirm either way, if their weight would count or the surgeons would count. I guess I could go and just wait to start the nutrition plan. Or should I just postpone the nutrition. Is it okay to lose weight prior to surgery, especially if you drop below the 40 Bmi? Sorry for all the questions.

Call the surgeon's office - they are the ones who submit everything to Aetna for approval. They know the process better than anyone.

Thanks. I will plan that on Monday.

I have Aetna I did everything required by them and after 3 months my Dr put in for the approval and it was approved and I am having my surgery on Feb 1. I had to do supervise medical weight-loss is two visits a month one with my primary care and one with the nurse practitioner at the surgeons office I had to meet with the dietitian I had to go to a support group meeting and I had a meet and get cleared from the psychologist

I have Aetna but at the moment issues with hospital and Dr. I think Aetna is good, I'll let you know, see my post 1.2 pounds cost me $9000.

Wow so far I only paid maybe co pays about 150 and will have to pay 175 for hospital and coinsurance. The most it will cost me is 400

Edited January 30, 201610 yr by sjrn16

@@sjrn16, you may have different forms of Aetna. You have H M O, which limits your out of pocket to copays.

I have PPO

Jembelle I sent you a message re what the requirements were for the 3 month multidisciplinary approach.