Aetna Insurance Inforamtion for Newbie

[pursky2006 0]

Hey everyone! I am new to this forum and have a few questions.:tt2: I have Aetna Open Access Plan, the surgery is excluded from my plan but if it is Medically ness. then I have a 50/50 of getting approved. I have done a 3 month supervised diet and had a consultation with the surgeon and he said that I was a canidate and also my PCP is behind me and even wrote a letter to back me has well. I have artiritis in all joints throughout my back and I have to have injections in my hip to help me walk and function clearly because the pain gets so bad. Also am a broder line diabetic which runs heavy in the family on both sides. So I was just wondering if anyone had any advice or any comments to help the stress level and fear of not being approved. I am doing this most of all for me to get healthy and to be more active with my children and husband. And have been looking into the lap band for 3 years know and have gotten to the point where it is time to do something for me! I am head strong and have done an intensive research and ready to go forward.

[Jodi73 11]

I have Aetna POS as well.....They have a very detailed CPB on their website. Just do a search for CPB on the home page, then obesity on the next (CPB) page. It details exactly what you need to do. You mentioned having done the 3 month diet. Just be sure your doc noted your weight, and what you talked about at your monthly visits. That seems to be a common hang-up with approval. The lap band doc and staff will also help you a bunch with the details, remember they do this everyday, and have most likely dealt with Aetna before.

They seem to be one of the better ins. companies about approving from what I have read here.

I am in my beginning stages as well, starting the pre-op officially on 4/7, really starting now :tt2:.

Hope this helps! Jodi

[pursky2006 0]

Hey Jodi,

Yes, you did! I appreciate the advice. I am so nervous about this whole thing. But in god's will this will all come to pass. I just have left it in his hands at this point. I have a great surgeon and his staff is just amazing. But will definitly check out the requirments on that page just to make sure that I have everything that I need. Are you in GA?

Thanks again,

Dawn

[Jodi73 11]

Dawn, I am in TN....Knoxville specificaly. Keep in touch, and let us know your progress! Jodi