Starting and have Aetna

Boopperlou
on 2/12/07 10:40 am
Hi.    I made the choice to do the LAP BAND about 3 months ago and when I started looking found that my Employer does not support this decision.  My husband has Aetna, Open choice PPO.  So we called them and switched.  I am now covered buy them.  Anyone have an idea about what the Insurance company is going to ask for?  Any help is nice.  Thank you
xtrasuga75
on 2/12/07 12:37 pm - Providence, RI
http://www.aetna.com/cpb/medical/data/100_199/0157.html I have Aetna and I went on to the above website to get the information.  My papers have been submitted to Aetna so now i'm waiting on the approval (hopefully). Good Luck
MichellePT
on 2/12/07 12:53 pm - Joliet, IL
I was approved by Aetna POS after an initial denial.  They are very specific and they denied me because I didn't see my doctor 3 consecutive months... I saw the nurse one of those months...make sure your doctor documents very thoroughly that you are following their program, whether it be multidisciplinary or a 6 month dr. supervised diet and exercise program.  Keep fighting if you initially are denied.  Work with your insurance coordinator, they can help.  Good Luck
Asia S.
on 2/14/07 11:15 am - Snellville, GA
I also have Aetna and I have done all my testing am just awaiting the information be submitted to my surgeons office.  But you must do the whoe 6 month supervised diet thing at least 3 months being consecutive. From what I hear they are very strict about this in 2007.  So my PCP is doing so addendum to her previous notes so hopefully I will have to gave maybe another month. (fingers crossed)  Good Luck!!
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