Aetna POSII proving previous diets.

Flowerpurr · 05-15-2008, 01:24 PM

Hello Everyone,

I have a question for you. Did anyone have to show proof of previous diet's tried? I told my Dr. which diet's I did in the past and she wrote them in the letter to Aetna but the surgeons office called and asked what diet's I have tried in the past. They didn't see the letter from my Dr. I asked her do I need to provied documentation she said she didn't know she is just the office manager and if I do she will have the nurse call me. Well if I do I don't have any! La Weight Loss went out of business and Jenny Craig was when I was 16. Teen Weight no more was when I was around 14. I did the Zone Diet on EDiets along with Eating for Life on there to. I did Weight Watchers but my Mom went to the meetings and I just followed along with her. So if someone can please help that would be great!

Thank you!

msperson · 05-15-2008, 01:31 PM

I have same insurance and I think they just want to know that you tried everything! Did you have to have 5 year medical history? I did. I would not worry to much!

IRC · 05-15-2008, 01:42 PM

I have AETNA POS II also. I didn't have to submit proof of past diets, but my insurance coordinator in the surgeon's office suggested that I include a personal letter stating why I needed this surgery and list all past diets that I had already tried. I was approved in 3 days. Good luck to you.

coolcrystal · 05-15-2008, 02:29 PM

I have this insurance and I didn't have to provide anything for the insurance, but my doctor's office had me fill out a form listing all the previous things I had tried. And I believe they submit that form with the rest of your forms to insurance. I didn't have to be exact either. It was something like this:

Atkins diet - June 2000 - December 2000 - lost 40 pounds
Weight Watchers - March 2003 - January 2004 - lost 50 pounds
Phen Phen - September 1997-November 1997 - lost 25 pounds

So, it was a form with this type information and I totally guessed on the the exact months. I knew around about, but nothing written in stone. I was approved in 8 days...

wildercrews · 05-15-2008, 02:35 PM

Aetna is NOT customer friendly regarding bariatric approvals. Aetna denied my request in December 2007 and the Lap Band surgeons had to call Aetna's medical director to ask them to reconsider. One week later I was approved. I was approved Jan 4 and banded April 14. Be encouraged.

Flowerpurr · 05-15-2008, 04:05 PM

Well thank you all for your help! I pray the nurse sends in my paperwork. She has been sitting on it for three weeks now. I am sure Aetna will be faster than her. Of couse she told me 30 to 60 days for approval or denial.