Hi all I am so frustrated with the pre-certification department for Aetna through my companies insurance. I am a nurse,so I get the needing everything in order quite honestly! I have done all my question asking to the benefit dept etc and have been advised from them to get my bypass done this year d/t all out of pocket and deductibles being met already ,so I have been going like mad fire to get everything in order. Surgeon,sleep study, letters of recommendation from all my current Dr.'s etc! You name it I got it and if I don't I can get it in 24 hours or less, this is exciting of course. You say then what's the problem? Well the surgeon asks about this medically supervised diet and I'm like a what so I call Aetna to confirm and they can't decide out of 4 calls what the rule is in regards to this criteria?? I ask for a copy of these criteria's and well you know it's against company policy so she then states I can go on Aetna's website and pull up the clinical bulletin and it's all there and basically says you can do the 6 month supervised or the 3 month Multi disciplinary surgical preparatory regimen. My questions after this long winded story are #1 has anyone been through this with Aetna and #2 is the surgeon/nutritionist/psychiatrist combo enough for the 3 months??? Thanks all for reading my long winded story.
Jen