Aetna 2003 guidelines

I have Aetna insurance and my claim was submitted to them last November. I was told at that time Aetna required documentation of 6 months conservative weight loss effort. I was very upset, because I wasn't aware of this information. I got the HR gal at my husbands work involved and had a whole inquiry done. Yep, 6 months was required. I had already been attending a weight loss support group ( part of my surgeons requirements) that is run by a registered dietician. I asked if that would be acceptable and was told yes. So, I have continued to go, each Thursday night and my six months are up next week. I can resubit my claim to Aetna. My question is this: Aetna now has a 2003 guidline which requires six months of a supervised diet AND EXCERCISE program. I did not participate in an exercise program. I have been excercising. I walk every day. But this isn't documented. However, I have obviously done SOMETHING right because I have lost 39.1 pounds so far. Anybody have any insight into this? Do you think this will cause a delay in approval? I was not denied in November. When I found out about the requirement, I just removed my claim, to be submitted at a later date. Which would be March 3, and I have a surgery date of April 3. Hopefully. Thank you, Kelly

We greatly appreciate your interest in helping us build our Q&A database. To discourage vandals from posting garbage, however, we require people to register before posting.

You must be logged in to post an answer. Click here to log in.