Freaking out due to insurance

koya09
on 4/9/09 1:21 pm

Well I with you , I have my last appt with my PCP tom, and than I can get a ref to see the surg, I'm so scared that my insurance BCBS/IL Advantage, will be tripping, I pray eveything goes right for you, as well as myself, I will pray for us both!!!!!

cocodrop7
on 4/9/09 2:13 pm - Swansea, IL
Girl, so we both holding our breaths!  Keep in contact with me and let me know how fast your got approved and your surgery date.  Good luck and I will be praying for you also.

If you LOVED me when I was fat, you are going to be OBSESSED when I am thin!

              
yeaokaybye
on 4/9/09 9:47 pm
Paula,

I have Aetna Choice POS II, and they were a breeze to deal with.
I did the 3 month disciplinary diet, saw a nutritionist, and my PCP and also a physical therapist once a month.  

Don't over load them with information.  The simpler the package ,the quicker it is for approval.  ( I have talked to a few people who work in the business and they each told me the same thing)

Doing the pre-op requirements by Aetna are a must.  have you read the bulletin?  They go by this strictly.  They do not approve unless you have met one of the 2 guidelines... either a 6 month program or a 3 month multi disciplinary.  I found this out the hard way, but actually it wasn't bad. 

If you are unaware of this, please visit this site :

http://www.aetna.com/cpb/medical/data/100_199/0157.html

Its very cut and dry.  but if  you follow the program, either one you choose, you are guaranteed a chance for a smooth process.

PM me and ill tell you exactly what I did, and I made it very simple.  Also, Have your surgeon fax it as urgent and you should get a response within 4-5 days at most.  ( I have phone numbers for you , if you wanna bug them =) )

Let me know!!

*hugs*

Alex










I'm the Queen... my pantyhose say so!!!!!!!

Most Active
Recent Topics
LET'S RESTART THE IL. SITE
scaryreader · 0 replies · 1277 views
Wednesday Roll Call
LisaTucker · 2 replies · 5774 views
Tuesday Roll Call
crystal M. · 2 replies · 5533 views
Sunday Roll Call
LisaTucker · 0 replies · 5519 views
Thursday Roll Call
LisaTucker · 2 replies · 5553 views
×