Question:
Has anyone w/ a BMI of 41 w/ no other problems been approved w/ Aetna Openchoice POS?

   — Kristiemo99 (posted on July 3, 2008)

July 3, 2008
My BMI was slightly higher than 41, but I had no medical problems. I am nearly 6 months RNY. It is really up to your insurance. Good Luck
   — mary_rn

July 3, 2008
Yes. My bmi was slightly higher. I have none of the comobities and I was approved on my first try. I have blue cross/blue shield. Hope this helps. All the best.
   — msmajakal

July 3, 2008
With a BMI of > or = to 40 you SHOULDN'T need any other co-morbidities. However, this does not mean you will not have to play the game with your insurance company for a while so don't take their crap if they tell you no the first go around.
   — MAG

July 4, 2008
Kristin, Go on to your Aetna website or call member services and confirm that you have the benefit with your specific policy. If you do, serch on the Aetna website for Clinical Policy 0157 and it will provide the exact requirements for surgery approval. I was approved within 2 days and am very pleased with results.
   — Nurzrobin

July 6, 2008
I had Aetna POS. I was approved within 4 days. Just make sure you have met all of the criteria. I did the 3 month surgical preparatory regimen.
   — lanie42273

July 6, 2008
Oh and my BMI was 42 with NO co morbidities.
   — lanie42273

Click Here to Return