Submitted to Aetna...

My docs office submitted to Aetna a week ago yesterday. I called yesterday afternoon, and they said that it was "sent to the Medical Director". She said that if I didn't hear anything by next Tuesday, to call back and to see whats up.

I am so nervous about this whole thing! Really, if they say no, then I will just need to complete the 6 month diet regimine instead of the three. At this point, I am well into the 4th month, so I guess if that's the case, its just 2 more months , right!?

WELL, I just would like to know one way or the other! I am so impatient.

OK, I just had to vent! Have a great weekend all!

Jodi

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APPROVED!!! 8/24/09
SURGERY DATE !!!!! 9/30/09


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I'm in the early process of sending in insurance stuff. But I have aetna PPO also. I did 3 months of the wieght loss program and I hope that's all it takes. Let me know your progress. I hope u get approved!! :)

I have Aetna PPO as well. I did the 3 month program and was approved with no problems. I was just banded on the 18th of August, and so far Aetna has been wonderful.

Just curious – why do they ask you to do the 3 month diet plan? I can be disciplined for short periods of time and this would most likely take me below a BMI of 40. Does that mean that Aetna would reject me after the 3 month diet plan because my BMI was now below 40?

Aetna makes us do either a 3 month multidisciplinary program or a 6 month program with our physicians. They make us do this to show compliance, that we are willing to adhere to the "rules" after being banded. They don't ask you to lose any weight, at least they didn't for me. I think I actually GAINED weight! Really, it's just another hoop to jump through to get approved. I was happy I did the 3 month program with the nutritionist, exercise physiologist, and my physician because I felt better prepared for surgery.

I'm AETNA POS II and I was submitted last Wednesday, I called this Wednesday and was told it's still pending. I don't know if that is good or bad, or just nothing at all ya know. You can't help but wonder. It's like we've been looking forward to this for so long it's hard to imagine getting denied. :( :(

I got my fingers crossed for everyone!

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Banded September 16th, 2009 The hard work begins...

Created by MyFitnessPal.com - Free Food Diary

Lost 33 of these pounds pre-op during the Insurance Requirements...
I'm ready to keep on moving now that I have my band!!!

I'm on the 3 month program. I did lose 4 pounds the first month but I'm having problems staying focused and concerned it will be a problem. Do you think this will be a problem with Aetna?

Thread Starter

I got my approval letter in the mail yesterday! Just two weeks after they submitted my info! Keep the faith, it will happen!

Jodi

__________________
APPROVED!!! 8/24/09
SURGERY DATE !!!!! 9/30/09


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