Denied
I have been denied by Aetna twice after going through all their requirements. I was denied for weight gain during one of my weight management visits and have no co-morbidities. If that was the case why was I continually seen and my money collected if I was not eligible for surgery? They filed a peer to peer and I just found out yesterday that I was denied again. My surgeon wants to file a level 2 appeal which is basically the same thing just more paperwork and letters. So I should know by mid April if I am approved. If not, I feel like I either need to let this go or pay out of pocket or something.
My husband is having surgery today and I have been super supportive through the whole thing but inside I am GREEN with envy. I just want to cry! We had planned on doing this together and I have failed him and myself miserably!
Have any of you been denied in the beginning only to be approved later and successfully had surgery through Aetna or any other insurance provider?
many people have been denied and then after a number of appeals got it approved
what is you bmi , did you do a sleep study for sleep apnea, do you have back and knee pain , do you get rashs,these are all co-morbidities
you may need to do the six month diet again and stay stricter, I needed to lose 50 lb before surgery and it took me 8 months to do but I got it done
Oh, man - don't tell me this! My hubby has Aetna and we've been waiting for over two weeks to hear back from them. They couldn't find evidence of his sleep study...but they're the company that paid for it and continue to approve his claims for CPAP equipment - WTF! I sure hope we hear something positive this week or he will lose it. 
Tracy 5'3" HW: 235 SW: 218 CW: 132 M1: -22 M2: -13 M3: -12 M4: -9 M5: -8 M6: -10 M7: -4
Goal reached in 7 months and 1 week!
Lower Body Lift w/Dr. Barnthouse 7-8-15
