Hey everyone,

I will be starting a new job the 1st week of June and at the beginning of July, I will be able to sign up with Aetna insurance through my new job. I was given information that Bariatric surgery is covered under the plan and that there are 3 consecutive months that I will have to be on a physician-supervised plan. This week I went to see my PCP so that she could start me on a plan, thinking that the insurance company will take the documentation when the surgical center submits the paperwork. Also, I made an appointment with the surgical center but they cant get me in until the end of next month. ***So,that's why I opted to start the plan with my pcp. Am I moving to fast? Will I still have to go more than 3 consecutive months being that I do have the insurance yet (Will my 3 consecutive months start when I start on the insurance plan, only?)? Is it ok, to move ahead with the nutritional plan? Must I wait until I have the insurance? Any advice is needed.

Thanks!

8 hours ago, Gotta win 4me said:

Hey everyone,

I will be starting a new job the 1st week of June and at the beginning of July, I will be able to sign up with Aetna insurance through my new job. I was given information that Bariatric surgery is covered under the plan and that there are 3 consecutive months that I will have to be on a physician-supervised plan. This week I went to see my PCP so that she could start me on a plan, thinking that the insurance company will take the documentation when the surgical center submits the paperwork. Also, I made an appointment with the surgical center but they cant get me in until the end of next month. ***So,that's why I opted to start the plan with my pcp. Am I moving to fast? Will I still have to go more than 3 consecutive months being that I do have the insurance yet (Will my 3 consecutive months start when I start on the insurance plan, only?)? Is it ok, to move ahead with the nutritional plan? Must I wait until I have the insurance? Any advice is needed.

Thanks!

I don't know about your particular plan, but my Aetna has a 6 month requirement. I had already been seeing my pcp, endocrinologist, and a dietitian for 2 months for weight loss before my initial bariatric consult and was told they wouldn't count. I had to start from that point. Yours may be different, that was my experience.

My insurance, Anthem BCBS, requires that the visits and nutritional visits be done through the surgeon who is doing the surgery. Just my experience though. Good luck!

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9 hours ago, Chrisb428 said:

I don't know about your particular plan, but my Aetna has a 6 month requirement. I had already been seeing my pcp, endocrinologist, and a dietitian for 2 months for weight loss before my initial bariatric consult and was told they wouldn't count. I had to start from that point. Yours may be different, that was my experience.

Thanks. I think it is 6 months if I’m just going to a pcp and 3 months if I go through the surgeon. I may have to just wait until the end of next month for my doctors appointment. I will call them Monday to get a definitive answer.

My WLC has a strict 6 month rule no matter what my insurance has to say. My insurance dose not have a waiting period but my doctors are good and I wanted to go with them. I am glad I will have this 6 months to change my eating and get into my exercise routine.

I have Aetna and did the 90 day regimen. Your weigh-ins should start at the surgeons. Also each weigh-in day at surgeon or weight loss center will be combined with a nutrition visit so you knock out 2 birds with one stone...

Edited May 25, 20188 yr by BGrundee
typos

Yeah i have Aetna and it was only 3 months but my surgeon recommended 4 to be safe. Patiently waiting an answer