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Insurance timeframe

So my Insurance required me to have three months of consecutive weight loss and tomorrow is my final weigh-in. After that my understanding is that they will have 30 to 45 days to approve everything. In everyone else's experience, how long was it between Insurance approval and surgery being scheduled? I'm speaking as someone from the United States. My insurance is through Aetna and my surgery is being done by Saint Francis. I've lost weight every month, but I'm so afraid of being denied regardless.

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  • After the paperwork was submitted it was about two weeks for approval that’s with blue shield of California

  • I also have Aetna. My last weigh in was the 10th of November and my doctor submitted my paperwork. I was approved about 12 days later by Aetna and had my surgery Dec 26. I am a teacher and that dat

  • 6 months of nutritionist, psych, primary doc

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I also have Aetna. My last weigh in was the 10th of November and my doctor submitted my paperwork. I was approved about 12 days later by Aetna and had my surgery Dec 26. I am a teacher and that date was best for me!! Good luck!

anyone with tricare prime?

I have Tricare Prime and Medicare


i was approved in NOvember and only waited a week for approval but surgery wasn't scheduled until feb :/

we have prime remote...husband is deployed and we dont live within 50n miles of a MTF. im excited and nervous; I have been heavy (post partum 11 yrs ago and never lost the baby weight, then 7 years ago just packed on more) for me for so long and have tried to lose it for over 10 years....so depressing....

oh man how frustrating! the wait would drive me crazy!

6 minutes ago, MoB6227 said:

i was approved in NOvember and only waited a week for approval but surgery wasn't scheduled until feb :/

what hoops did you have to jump through?

6 months of nutritionist, psych, primary doc

Kaynga, I was gonna tease you a little, if your surgery,is being done by a Saint,it surely will be blessed. Where is Saint Francis located? My hospital's name,is Mount Carmel so while you're relying on a Saint I will be venturing to the Mount. Bottom line I wish you well with your future surgery.

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mine is also st Francis...tulsa ok

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1 minute ago, kakatlady612 said:

Kaynga, I was gonna tease you a little, if your surgery,is being done by a Saint,it surely will be blessed. Where is Saint Francis located? My hospital's name,is Mount Carmel so while you're relying on a Saint I will be venturing to the Mount. Bottom line I wish you well with your future surgery.

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Haha, I didn't even realize since I'm so used to it as a hospital name. It's St. Francis Hospital in Indianapolis. I guess we'll both be blessed at least. ;) I wish you the best on your surgery as well!!

ok not to obsess over the tricare issue, but if you go thru a MTF do you have to pay anything out of pocket? I am 2 hours away from one but id go there for that if I dont have to pay office visits...

That was my fear too. I had six months of weight loss to show, psych and nutritionist evaluation. Once the surgeons coordinator had all the paperwork it took another 2 weeks and then scheduling. So two months between finishing appts and surgery.


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