Question:
ANY LIGHTWEIGHTS HAVE AETNA WITH ONLY ARTHRITS,BMI42, DID YOU QUALIFY ?

I AM A LIGHT WEIGHT SO THEY SAY ON THIS SITE, MY BLOOD WORK CAME BACK OK EXCEPT FOR MY CHOLESTEROL IT WAS ALL BAD. ANY ONE GET DENIED,OR DIDNT DID YOU HAVE TO WRITE A LETTER,WHAT DID YOU HAVE TO GO THREW?    — katrina (posted on February 12, 2006)

February 12, 2006
You should qualify since your BMI is above 40. Mine was 39 with hypertension. I was denied 5 years ago with Aetna because I didnt have a 5 year weight history with a doctor. I was recently approved in December- it only took two weeks. Just make sure your insurance application is complete- for instance I did not know that they required a recent thyroid test result. Your surgeon's office should help you with this. Good Luck!
   — krisee90

February 12, 2006
bmi 42 is not light weight, under 40 is , your ok, here is the cbt,rules for u to follow: http://www.aetna.com/cpb/data/CPBA0157.html
   — walter A.

February 13, 2006
Aetna will approve IF you have had a physician supervised diet for the last 6 months or a 3 month pre-operative program. I was lucky because I went to Neweigh in Houston and they handled all the paperwork and had a pre-operative program all set up. It goes by fast. Try and find a MD whose office will do all the paperwork and is familiar with Aetna 's requirements. Do not get discouraged, if you have to do the 6 month supervised diet and don't worry that if you lose weight you won't qualify anymore. Usually, as soon you finish and resubmit you will get approved in a week or two.
   — pammatria

February 19, 2006
I had open RNY in June of 2002. Aetna covered it all at first request. My BMI was 41 and I had no other significant problems. I did not have even a weight loss history....only an appointment documented a year earlier that I had "spoke" about weight loss with my physician.
   — emilyfink