Aetna insurance? Anyone?

Come Monday, I will have completed the 3 month required supervision requirement under my Dr.
that Aetna requires. Mr surgery: Sleeve

I get a call from the clinic from the lady that coordinates the insurance and she said that I have to prove that I had one other comorbidity since my BMI is 36.

Here are my issues

Primary Physician didn't support my surgery (although I sat on it for a year after my first seminar), she just tells me that my husband loves me the way I am....and her little skinny butt thinks that I should be ok with that.

On my LAST (and I do mean final) visit to her, she decided to address my HBPressure and put me on meds. So I have only been on the HBP medication for about 3 months now. (Really don't think I need it, as I am usually normal.....I just get worked up about having to go see her!) I have a new Dr. appt set up with new primary.

My sleep test showed that I did need a CPAP and I've been on it for about a month now, but Aetna mentioned that my AHI might of not been severe enough?? Didn't understand that?

I did have the Vein Closure procedure done in my legs this past summer for pain and fatigue in my legs.

I do regularly take gabapentin for neuropathy in my legs, (verdict still out on what has caused that, but I suspect weight!) Have been treated for leg pain for years.

Have documents from a Weigh Loss Clinic for the past 5 years, where I recieved appetite suppressants and " weightloss counseling".


My Question: The insurance lady told me to think of anything I could possibly think of to help send in to Aetna when they submit my case, because they are not wanting to approve. Who has experience with this that could offer some advice.


Thanks in advance!

If you are a 36 bmi and have a comorb, I don't see the issue here. You also don't need your physician on board. I didn't anyway. Sorry I couldn't be more help to you. I wish I knew what to say to get you what you need.