Getting Aetna insurance approval Help !!!
I'm going to keep this short and sweet. I was approved by Aetna for surgery in January. I didn't go through with it, and would like to have it now. I have to have surgery in August, but I was denied for it due to "lack of six month diet, within the past 2 years." which is complete crap. Most people I know don't make a habit of going to the doctor to get weighed every month. The next time I would be able to have surgery would be in late December or early January due to my work and school schedule. According to the surgeons secretary, everything with aetna has to be completed 30 days within the approval date, 60 at the most. I don't know if this is true. I have e-mailed the surgeon to ask if I could have his support on an appeal, he has yet to get back to me. I don't want to do business with them over the phone, the secretaries either rush me off the phone, or have an accent so thick I can't understand them. How do I get this approved? When should I do it? How do I coordinate all this? I am getting very frustrated with this, and am wondering if it's even worth all the aggrevation. P.S. The insurance company specifically states that a written diet history is unacceptable documentation. I may look into yet another surgeon if this guy doesn't get back to me soon.
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