I FOUGHT for an approval..and GOT IT!!

Malg22
on 11/6/10 12:51 am - Tiffin, OH
VSG on 12/18/13
HI everyone. Many of you have helped me in my dealings with Aetna and my employer's denial for my WLS. I am happy to say that after it was reviewed again on Thursday teh 4th.. I have an approval! I had to take it all in my own hands and know deep down in my gut that no one was going to want this more than ME. I got all my paperwork organized..sent ton's of faxes when requested, highlighted, paperclipped, tagged and had extra appointments and calls with my dr., the barix clinic and the insurance offices..but it paid off.

I knew I had did everything on my end. You have to fight for it. Unfortunately the first medical reviewer I had with Aetna denies 99% of the claims to have WLS but I didn't stop there. I started in December of 2009 and here we are almost a year later.

Don't give up. I am here to tell you to fight for what you want and if your insurance company does have it in their plan to pay/help pay for WLS..do what they say to a "T" plus some.

Excitedly waiting for my own WLS date!!
Angie
kimberly_gr
on 11/7/10 5:46 am
Glad it finally went through for you.  I had read your prior postings and couldn't understand why you were denied.

Congratulations!
Kim
5'0"
"In two decades I've lost a total of 789 pounds. I should be hanging from a charm bracelet."  Erma Bombeck
  
Nan2008
on 11/7/10 11:49 pm - Midland, MI

CONGRATULATIONS!!!   I am happy for you!

I couldn't agree more when you say 'no one wants it more than me'.  That is how it was for me as I put together my own appeal and also my daughters and won both with Aetna also.  You have to take it into your own hands and fight hard for yourself because no one is going to fight a hard as you want it!

Both of my sons were just recently approved and they are having surgery December 13th!!

Good Luck to you and Congratulations again!

Nan

 

Nan

HW 300
/ SW 280 / CW 138 /
GW 140
Hit Goal 4/2/2010

        
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