Did You Call Your Insurer And/Or Your Doc's Office Staff re: Approval Status? (I have Aetna...

 I'm wondering if I should leave the insurance issues to my program's office staff (they are great and effective) or if I should also call my insurance company and check in?   Any thoughts?  Thank you!
 Lucy van Pelt 
 Highest 255 Surgery 248 Current 170
Goal: 150
 

            
(deactivated member)
on 7/19/10 8:58 am, edited 7/19/10 8:59 am
 
While I found my surgeon's office helpful, I would not leave them unattended.  You own your destiny as for requirements, co-pays, etc.  I would keep in touch with your insurance.  The surgeon's office is responsible for submitting your paperwork, but other than that... you should be on the ball on what is covered, under what conditions, pre-op requirements, surgeon fees, copays, etc.

If things go good or not so good, you are the one ultimately responsible.  Be as engaged as you want as you will still "own" whatever happens in the end.
Thanks.  I've read our policy and I know the procedure is covered and under what conditions - all of which I meet.  Should I call to "confirm" this?  How should I find out I have an official approval?   
 Lucy van Pelt 
 Highest 255 Surgery 248 Current 170
Goal: 150
 

            
(deactivated member)
on 7/20/10 1:18 pm
 
You can call and ask.  Your Dr. may be able to tell you. You need to be careful with the policy stuff, as many of the things on the website "assume" coverage, but your specific policy (especially if its employer based) may have different coverages.  Doesn't hurt to call the INS co and verify coverage, limits, etc.
mrsconrad
on 7/28/10 8:36 am - Steger, IL
I agree- I would call.  I have been denied 2ce by Aetna, and looking back, I should have taken a closer look at what my doc was submitting, etc.  I would stay with Aetna, checking in getting names, etc.  Once a decision is reached, you have some pretty short windows to provide info, etc...

Good luck!

Maria
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