Insurance question

PNGmom
on 10/17/13 5:20 am - Port Neches, TX
I have been on the journey since June 2013. I have done all my nutrition classes, my 90 day waiting period, lost my 10 lbs that was required. I completed all that on Sept 18. Now I waiting on the insurance company for approval. How long did it take you to get your approval? I have Aenta insurance.



Thanks Rose
noftessa0401
on 10/17/13 8:04 am - San Diego, CA
RNY on 12/27/12

I don't remember exactly, but it was less than 2 weeks.  I think it was more like 7 working days, etc.

Good luck!!

HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"

M1: -24 (205) | M2: -14 (191) | M3: -11 (180) | M4: -7 (173) | M5: -7 (166) | M6: -8 (158) | M7: -11 (147) | M8: -2 (145) | M9: -3 (142) | M10: -2 (140) | M11: -4 (136) | M12: -2 (134) | M13: -0 (134) | M14: -3 (131) | M15: +4 (135) | M16: +2 (137)

kitkat88
on 10/17/13 10:21 am - Metairie, LA
RNY on 11/18/13

I dont know I hear from 24 hours to 30 days lol but im still waiting for my papers to be sent to the insurance company!!!

ABath
on 10/22/13 1:56 am - WI
VSG on 11/26/13

Mine was submitted to Aetna on Monday, October 14th and I'm still waiting. I don't know if that is good or bad. :-) It has been with Aetna's nurse for review since last Thursday so I'm keeping my fingers crossed. At least she didn't take one look and throw it out. I'm hoping this is a good sign.

 Height: 5'1" HW: 229 SW: 203 CW: 147.7

       

    
PNGmom
on 10/22/13 2:19 am - Port Neches, TX
ABath. I truly agree. I call the precertification desk on Friday Oct 11th, they said they have received everything and now waiting on nurse to review for approval. I just hate the waiting game. Hopefully we will find out about the same time. Good luck.
ABath
on 10/23/13 4:39 am - WI
VSG on 11/26/13

I'm keeping my fingers crossed and praying for both of us. I spoke to a representative today and it is still "under review." Ugh! I'm going to think positively though, at least they didn't take one look and reject it.

 Height: 5'1" HW: 229 SW: 203 CW: 147.7

       

    
PNGmom
on 10/28/13 1:52 am - Port Neches, TX

ABath-just checking in with you to see if you heard anything yet? I am getting kinda of nervous the longer they make me wait.

 

ABath
on 10/31/13 5:58 am - WI
VSG on 11/26/13

Just wanted to let you know that the Customer Service rep at Aetna told me they have 15 calendar days from the date they received ALL of the information. If your surgeon turns in your paperwork and then a week later Aetna asks for additional info, they then have 15 calendar days from the date they upload the info into your file (there could be a delay from when they receive to when they upload). Ugh!!!

 Height: 5'1" HW: 229 SW: 203 CW: 147.7

       

    
ABath
on 10/28/13 2:11 am - WI
VSG on 11/26/13

I still don't have my approval and it was submitted on the 14th. I have been calling either every other day or every day. They told me that they have 15 days after they receive ALL of the information they need. Since my surgeon's nurse faxed over additional info on the 21st but they didn't upload it to my file until Thursday, the 24th, my 15 days starts over on the 24th. 

I went through this process 2 years ago and needed an additional 5 months of documented weight (but put it off due to my divorce). They sent me a rejection within 7 days that time so I'm trying to be positive that the longer weight means a better chance of an approval since they didn't deny it outright.

I found out that the surgeon's nurse did not send my 2012 stuff over and I'm nervous because my bmi was 39.7. The nurse told me when she finally sent it in last Monday that she would write a bmi of 40 since it rounds up to that but Aetna is very picky and I know that some people have been rejected for a bmi of 39.9. I also wrote a letter letting them know that I was going through a divorce during that time and was skipping meals due to stress. I was also on a diet but my weight spiked again as soon as I stopped skipping meals. Hopefuly that will help.

Keep calling and asking. Good luck - let me know how things turn out.

 Height: 5'1" HW: 229 SW: 203 CW: 147.7

       

    
PNGmom
on 10/31/13 6:25 am - Port Neches, TX
I called yesterday and they told me the same. The lady I talked to said 15 business days. My surgeon office sent over my stuff they requested on the 18 the of Oct. This waiting is driving me crazy. But maybe since we having got denied yet it's a good sign. Hope we both here real soon. I'll keep you posted. Thanks
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