Question:
Has anyone skipped the 6 month diet requirement for approval?
Has anyone gotten approved with Aenta Managed Care without having 6 consectutive months of documented weight-loss attemps? — K S. (posted on November 25, 2002)
November 25, 2002
Are you talking about 6 consecutive months prior to approval? I had no
such requirement with my Aetna HMO...JR
— John Rushton
November 25, 2002
I HAVE AETNA PPO OPEN CHOICE, I WAS DENIED 2 WKS AGO FOR NOT HAVING A
SUPERVISED DIET! WELL 2 MTHS AGO I WENT TO MY PCP AND HAD HIM RERECORD MY
WEIGHT AND TELL ME TO GO ON A 15OO CAL. DIET, NOW I GO EVERY 4-6 WKS TO GET
WEIGHT! BUT I DID HIRE WALTER LINSTROM OBESITY LAWYER TO FIGHT MY APPEAL!
IF I HAD TO STAY ON A SUPERVISED DIET IT WOULD BE APRIL OR SO BEFORE MY
SUPERVISED DIET WOULD BE UP! THEN WHAT ARE THEY GOING TO REQUEST NEXT! GOOD
LUCK! CYNDI
— CYNDI B.
November 26, 2002
I too hired Walter Lindstrom, it was overturned within a couple weeks.
They use that reason for everyone, because they know how difficult it is to
record.
— Leah G.
August 29, 2003
Aetna has changed the rules again!!!
Check this link for new information posted 8/22/03 for qualifying for
physician supervised weight loss management:
http://www.aetna.com/cpb/data/CPBA0157.html
Hope this helps everyone.
— aflower1
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