Should I bother trying to get Aetna to pay for a TT?
Two of my consultation doctors sent in a request for approval. The first one got denied. The next week, I got an approval (Dr. DiNick). The problem is that I'm not going with him as my surgeon... so Aetna needs a new request. My current surgeon doesn't request any approval from insurance and won't bill separately (one is cosmetic-TT, and the panni is reconstructive). GRRRR
You will almost certainly not get Aetna to pay for the TT, because -- unless yopur policy is different than mine was -- it specifically indicates that a TT is considered cosmetic in all cases, BUT they WILL cover the panniculectomy without a hassle if you have skin issues. Even with a hernia that needed repair and an approved panni, they would not permit the full TT.
Lora
Lora
14 years out; 190 pounds lost, 165 pound loss maintained
You don't drown by falling in the water. You drown by staying there.