Aetna PPO - Thyroid Condition exclusion - Help?
I am hoping to have surgery soon after the new year. I currently have an HMO that does not cover WLS at all and am switching to the Aetna PPO plan which does offer it with all the hoops to jump through. I was pretty excited until I read today in the policy that you can not have an endocrine or thyroid condition.
Well...2 months ago I was diagnosed with Hoshimoto's Thyroiditis. Given meds and will go back to see the Dr. in 3 months. I have been morbidly obese since at least 17 when at my lowest remembered weight of 217. In 20 years I have gained 200 lbs. I am certain it has nothing to do with my thyroid but now I am super freaked out wondering if they are going to deny me based on this. What can I do? I can't convince my Dr. I don't have this condition...
Has anyone else had to face this hurdle?
Well...2 months ago I was diagnosed with Hoshimoto's Thyroiditis. Given meds and will go back to see the Dr. in 3 months. I have been morbidly obese since at least 17 when at my lowest remembered weight of 217. In 20 years I have gained 200 lbs. I am certain it has nothing to do with my thyroid but now I am super freaked out wondering if they are going to deny me based on this. What can I do? I can't convince my Dr. I don't have this condition...
Has anyone else had to face this hurdle?
Maybe our policies are different. That wording is the last bullet point in mine under all the loop holes you have to jump through to have surgery. I still don't know what to do about it. I am going to try to get the Dr. to write a letter to explain that the symptom of "modest weight gain" due to MH does NOT apply to me. I am really worried. Meeting with one Dr. tomorrow. Not meeting with the endocrinologist till Dec 1. I am also going to order MR as far back as 7 1/2 yrs ago to show it is no fluke thing. Fingers crossed I can convince them.