Wellllllllllllllllllllllllll Not sure where to start!!!!!!!!!!!!!!!!!

Hello I have not been on here in a while cause I lost all hope when my husbands insurance decided to add an exclusion...... Well I got me a new job and I think the insurance I have now will pay for it. It is Aetna PPO and it will go into affect on 5/21/04 and I am asking for help of where to begin the actual process. I have been on this website and have been researching since November of last year I know I want to have this done so please help me get started thank you. Thank you Denise

I have aetna open choice, and they will not even consider it without a BMI of greater than 40, and at least 6 months of doctor documented diet history. Weigh****chers is not good enough -it must be a Doctor. However, once you meet their criteria, they are pretty quick to approve. They almost always deny on the first pass, but with me, one call from my Dr was enough to get me approved after the first pass, and initial denial.

Hi, I had Aetna POS last year when I had my surgery. You will need AT LEAST 6 months of documented weight loss attempts with your PCP, and they are sticky about the BMI of 40 or greater and/or 100 pounds overweight. I was denied twice, but won on the appeal. (it was their fault - they didn't "see" the medical records from my PCP that were behind the ones from the surgeon........) Anyway, they did approve and I got my open RNY and have lost 97 pounds so far. Best wishes and good luck. Don't give up. Start now by going to your PCP and document your weight loss attempts whether diet, appetite suppressants or what - just get your PCP to document everything. Keep receipts for your prescriptions, SlimFast, etc., in case you get denied at first. Maybe you'll luck out and they'll approve the first time! Dorita Open RNY 10/14/03 297/200/?