Nan 2008 and other aetna Vets
I recieve a call from my doctors office telling me the visits with my Nut were too close together and they dont think they are gonna approve it unless i reschedule my surgery a week or 2 and do another visit. Well my mom is a flight attendant and for her to get that week off was hell, so i took the chance and told the office to submit and see what happens. If worst comes il just have to rechedule and have a lonely recovery. This sucks what can i do ??? is there a re sumbit timeframe for the paperwork if i get denied ??? will it be harder to get approved if i get denied??>> im really hoping the agent covering my claim is an idiot and doesnt notice lol . HELP!!!!!!
God grant me with the serenity to accept the things i cannot change ; Courage to change the things that i can ; and the wisdom to know the difference!!!
I will be glad to help you. I will PM you. I do know this, your appointments need to be at least 90 days from start to finish if you did the 3 MONTH multidisciplinary program. Did you do the 3 month MD program?? Or the 6 month physician supervised??
If you can give me a little detail about when you went (dates of each of your appts) I will be able to help determine whether they will deny or not.
And yes, if you get denied, there is a time frame for submitting the appeal and I will be glad to help you with that also. I had suregery in March of 2009 and all three of my kids had surgery in 2010. We all have Aetna insurance. Two of us were denied at first and two got approved right away. Three of us did the 3 month MD program and my one son did the 6 month physician supervised diet, but he also did see the dietician a few times.
I filed the appeals myself on the two of us that were denied so I do have experience with that to help you if you if you do get denied.
Nan
Nan
HW 300 / SW 280 / CW 138 / GW 140
Hit Goal 4/2/2010
Thanks for the reply, well i know for sure i did not see the NUT 4 times on my 3 month MD diet. they scheduled everything for me and so i figured when i was done with their appointments i would be ok. well i guess the NUT missed one appointment so i saw her august 27, sept 28, october 28th and Nov 3rd. at this point im sure im going to get denied, but i wanted to give it a try and see if tere would be any possibility for me to keep my surgery date of Nov 21st being that my mom already has the week off.
God grant me with the serenity to accept the things i cannot change ; Courage to change the things that i can ; and the wisdom to know the difference!!!
When did you see your physician (dates)??
Nan
HW 300 / SW 280 / CW 138 / GW 140
Hit Goal 4/2/2010
Hockeymom87 · 0 replies · 611 views
