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Hi Christine,
I take it from your weight tracker that you must have gotten approved from Aetna. I just found out today from Aetna that I have been denied and that it's not covered. Was your WLS covered under your plan and if not what did you do to get approval?
Thanks,
Chris(cc583)
5'5" HW: 484, SW: 455,CW: 325
Surgeon, Darren Tishler
Did you get approved? How long did IEHP take and what was the full process?
Have you received any updates from Coventry or your Surgeon? Did you have to do a 6 month supervised diet?
I've in the same boat. I have Anthem (BC/BS) in Oklahoma, but have been told by customer service WLS is specifically excluded. I verified this through two different WL surgeons. One was a referral setup by Anthem. It is really frustrating. Did you ever get an answer? Anthem is the only option I have through work unless I have military insurance.
Has anyone been approved for vsg with this coverage?
After speaking with the Hospital, I only need 2 years of recorded weight history..I don't actually need a PCP to do anything for me. 
how does the hospital know? Is is an insurance requirement.
Will insurance accept 2 years of recorded weight from anywhere? The recorded weight history is usually what the PCP does.
After speaking with the Hospital, I only need 2 years of recorded weight history..I don't actually need a PCP to do anything for me.
I have to leave Aetna for at least 6 months (didn't fulfill my hourly requirement thru my job) I was told COBRA would keep everything the same but I am finding myself stumbling from one road block to another and was hoping someone could tell me if there is an insurance company that only requires the 2 week liquid diet or something less time consuming than Aetna.
Figured, if I am being forced to change insurance companies, maybe I can find one that won't make me wait so long or won't require a PCP to sign off on it too.
Any info you have would be helpful.
Thanks!
the two week liq diet is a surgeon requirement ,not insurance.
i have never heard of an insurance co that didn't require a PPP to sign off.
I am going to call my surgeon today to see about getting a recommendation for a PCP in their medical center. I'm hoping that by showing I have a PCP and giving them about 10 years of W. Watchers weigh-in charts, they will still let me qualify. This isn't a new condition for me. I have been fighting my weight since I was 13 years old.
Hockeymom87 · 0 replies · 630 views
