Aetna lightweights band to revision - anyone?

(deactivated member)
on 9/12/11 10:09 am
Hey everyone,

I've gone through my pre-op testing and am waiting on final surgery and insurance approval from my Dr. and Aetna.  I've read the policy bulletin but I'm getting nervous that I won't qualify.  My BMI is only about 37 right now (haven't regained ALL my weight yet!) and my co-morbidities aren't listed as an approval factor. 

I qualified before (BMI of 40, apnea) but don't now.  My apnea is only "mild" now and just under the threshold Aetna calls apnea.  I have a score of 12.6, they want 15. 

So now I'm nervous that they won't approve.  Wondering if any of you were in this situation and what happened? 
smileyjamie72
on 9/15/11 6:27 am - Palmer, AK

Lynmarie,

Have you posted this on the Lightweights board???  There are MANY patients there that could give you GOOD feedback!!!!


http://www.obesityhelp.com/forums/wls_lightweights/




-Jamie

RNY 2/26/2002                           DS 12/29/2011
HW 317                                     SW 263 BMI 45.1
SW 298                                     CW 192 BMI 32.9~60% EWL
LW 151 in 2003  
TT 4/9/2003

Normal BMI 24.8 is my GOAL!!!

 

 

 


 

 

 

GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**

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