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Ugh the wait

susunorm

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susunorm    95

susunorm
Posted

So I am done with all my appointments and test, my info was submitted to atena in the 2nd. Every time I call it’s pending. What are they looking for? Why so long. How long did you all have to wait for an approval and what insurance did you go through?

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Jingle123423    165

Jingle123423
Posted

2 hours ago, susunorm said:

So I am done with all my appointments and test, my info was submitted to atena in the 2nd. Every time I call it’s pending. What are they looking for? Why so long. How long did you all have to wait for an approval and what insurance did you go through?

Did they give you an ETA for a decision? There are some insurance threads on this board where you might be able to find some info from other people who have Aetna.

Frustr8 reacted to this

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J San    1,071

J San
Posted

Took exactly 2 weeks from date my surgeon's office was supposed to submit paperwork. I think they were late submitting though. I also have Aetna.

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Matt Z    4,138

Matt Z
Posted

4 hours ago, susunorm said:

So I am done with all my appointments and test, my info was submitted to atena in the 2nd. Every time I call it’s pending. What are they looking for? Why so long. How long did you all have to wait for an approval and what insurance did you go through?

ATENA can take upwards of a month for a determination. Just keep praying that they don't deny it for some reason. I had mine denied and was forced into a 6 month doctor assisted diet and exercise program before they would approve.

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Chrisb428    626

Chrisb428
Posted

I have aetna as well and will be submitting Monday. I dont know if all Aetna plans are the same, but mine states that a determination will be made within 14 calendar days unless additional information is required.

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Creekimp13    5,838

Creekimp13
Posted

I'm still trying to figure out how my doctor's office managed it, but the day of my final nutrition appointment...about three hours after I'd left the office....they called me with my surgery date and time.....which was about three weeks away.

It could be that they're so used to working with my insurance company, they figured it was a shoo-in?

But yeah...I got my date that same day....and about a week later in the mail, I got my approval letter.

The patient navigators and insurance people at my group submitted everything...I had nothing to do with the process. I just did what I was told, went to the appointments I was told to go to...and they did the rest.

I feel for folks who have to do a lot of the leg work themselves and suffer through hold-ups. Wishing you a speedy expedition.

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susunorm    95

susunorm
Posted

Well I just got an approval! So now I’m just waiting to be scheduled for the surgery! 🤗🤗🤗. The waiting game is not fun!

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TakingABreak    2,733

TakingABreak
Posted

I was BCBS and it took approx 3 weeks.

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Go To Topic Listing Gastric Sleeve Surgery Forums

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