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Well what a surprise! I just received word today that I was denied because of missing paperwork. They said the psy eval wasn't submitted along with a letter from my PCP. I just spoke with the coordinator and she said the psy eval was included. I didn't know that I needed a letter from the PCP, it didn't state that in my coverage.
Now I have to get the letter from PCP which I just called to get and then the coordinator will appeal. More waiting!
I'm keeping my fingers crossed and praying for both of us. I spoke to a representative today and it is still "under review." Ugh! I'm going to think positively though, at least they didn't take one look and reject it.
Mine was submitted to Aetna on Monday, October 14th and I'm still waiting. I don't know if that is good or bad. :-) It has been with Aetna's nurse for review since last Thursday so I'm keeping my fingers crossed. At least she didn't take one look and throw it out. I'm hoping this is a good sign.
Aetna is very picky. I tried submitting two years ago and they wouldn't approve until I had an additional 5 months doctor documented weight. I put my surgery off and I'm once again in the middle of the process. The dr's office called yesterday because Aetna was looking for my 2012 weight. I'm worried because my BMI was 39.7 as I was in the middle of a diet. I have documented weight for many years but they want 24 consecutive months. My fingers are crossed that they will approve.
I would submit and see what they say. If they say no, you can at least get them to tell you why so you will know for sure what you need going forward. Good luck! I hope it all works out for you.
I would try anything. Just send it in to see what they say. I know I had to send the last 2 years of weight as a requirement but
what do you have to loose. I am still waiting on approval myself. Hopefully sometime this week. Good Luck!
My paperwork was submitted on Oct 9th and I just called Cigna and it is still pending! She said that it normally takes about 15 days for approval!
I have Cigna and had to go through the 3 months of supervised weight programs. I had to see a NUT for three months but didn't have to loss weight. I started seeing her back on July 12 and my last appt. was Oct 3rd. I am now waiting for approval. Good luck to you.