moosie

Anyone with experience with Aetna PPO?
Just curious how it went for you.
I want this surgery so bad I'm not sure I have myself truly prepared if I'm turned down.

Thanks, Jamie

monkeygrly

I had Aetna HMO and had absolutely no problem at all. Cindy also had Aetna HMO and she had to do a 6 month diet before hand. I've heard that approval through a PPO is actually easier than with an HMO. Good luck to you.

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Kristi
Lap 01/23/06 Dr. Callery
305/296/163/152.5*
pre-op/surgery/current/goal weight

* I changed my goal after talking to my doctor. I've decided that I want to be exactly 1/2 the person I was when I started

http://www.myspace.com/monkeygrly

momto4

I have Aetna PPO ~ had to go thru the 6 mth supervised visits ~ but other than that ~ NO PROBLEMS at all!

__________________
Cath ~
RNY 10-24-06
265/130/130
surgery/current/goal

G30RG3

I had Aetna PPO and I had to hire a lawyer to get my surgery covered. The lawyer had sent several appeals and we were denied. My lawyer then submitted it to the California Insurance and they agreed I should have this done. Therefore, Aetna had to pay for the surgery.

I went through Walter Lindstrom. Here's his website: http://www.obesitylaw.com/contact.php

Hope this helps.

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G30RG3 F4R311
Lap RNY 11-01-04
Dr. Wittgrove | Scripps Hospital | La Jolla, CA

360/345/218/235/200
Highest/Pre-op/Lowest/Current/Goal

mrs_stick

I will be starting a new job tomorrow and I will be able to purchase Aetna insurance for a very fair price. I also have Regence BlueShield through my husband's work. I called Aetna today and the woman said they will cover it if it is deemed medically nessisary. I am wondering what is the differance between the pople with Aetna PPO. Could it be lower BMI? Would they make a person with a lower BMI go through a 6 month supervised diet?

moosie

We have Aetna PPO. It was super easy. From start to finish it took me about 4 months to get my surgery date. I only had to do 3 months of the dr. supervised diet.

__________________
RNY July 31, 2007

post op/current/goal

291/172/150

Rock and roll doesn't create psychos, it helps psychos be more creative.

momto4

Have aetna PPO as well ~ started out that they asked for three month supervised diet ~ BUT ~ atthe end of the three month they informed me policy changed and PPO now require six months supervised diet... this was July last year ~ I did the extra three months and had my surgery in Oct of last year... I would ask for DETAILS when you call and get the policy paragraph title and number to look at the rules for yourself ~

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Cath ~
RNY 10-24-06
265/130/130
surgery/current/goal

mrs_stick

Moosie and Mom, Did either one of you have a lower BMI?

Cinerbelle

You must call your insurance and get your particulars...we all might have the same insurance, but the rules still change....from employer to employer and from state to state rules differ.

moosie

Mine was 40

__________________
RNY July 31, 2007

post op/current/goal

291/172/150

Rock and roll doesn't create psychos, it helps psychos be more creative.