Question:
Has anyone recvd approval from Aetna HMO without prior documented diet history?

I just got a call from my surgeon's office, and they said that the nurse at Aetna says I need documented history of Medically supervised diets. My PCP up to age 22 (i'm 28 now) has deleted all of my records.. PLEASE SOMEONE TELL ME A SUCCESS STORY.    — MerkMerk (posted on November 6, 2001)

November 6, 2001
I received approval in two days from Aetna HMO without documentation of prior diets. When I called customer service prior to my doctor's appt, they told me that if I met the criteria and my surgeon felt it was necessary, they would approve it. I *just* met the criteria with a 40.6 BMI and I was approved right away. Good luck.
   — PT LawMom

November 6, 2001
I was approved in two days. I had my PCP write a letter about previous attempts at weight loss (Optifast, weight watchers, slimfast, etc...) That letter was all they wanted back then. I think that Aetna really likes when your PCP's support. Look at my profile for a copy of my letter from my PCP. I hope it helps. Good luck to you!
   — Jeannet

November 9, 2001
Aetna HMO required the same thing from me. They wanted last 3 years documentation. I was all set for surgery, then the last minute requirement. I felt devastated. I had not been on any doctor supervised diet in years! Luckly, I had a secondary insurance that covered. It's strange because I've seen some people get approved by them without the documentation, according to their profile.
   — [Anonymous]

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