Question:
Does anybody know alot about Aetna Open Choice Insurance?

The nurse's review has sent it on to the medical review board. I know that is where the denials come from. Does this mean that chances are my surgery will be denied? Has anybody else had this happen?    — Rene C. (posted on April 18, 2002)

April 18, 2002
I have AETNA Open Choice PPO. I had the D.S. a little over a year ago, and had no problems getting it approved. I was approved within a week of the initial request. They have also authorized the Abdominoplasty that I having next month. Good luck!
   — abran

April 18, 2002
Hello, I had AETNA PPO Open choice also.. I didn't have a problem at all. It took a little time cuz it was the beginning of the year. I had a bmi of 41 with the only comorb's was back pain, gallbladder, and high blood pressure. The review is just where they decide. Don't give up hope! I was sure they would tell me I wasn't heavy enough or sick enough. All that worring for nothing! Keep calling and asking if it is out of review.. I think review just means it is setting on someones desk waiting for them to look at it!!That is how I found out I was approved, I called and the nurse said I was approved. I didn't wait for the doc to call me. Good luck! And God Bless!!
   — Katrina D.

April 18, 2002
i also ahve aetna ppo and i was aproved in six weeks i think it depends on your policy, but aetna is usually pretty good about aproving this surgery.
   — sandra M.

April 18, 2002
I also have aetna open choice and had no problem. I had a BMI of >43, but was approved within a week. Of course, I have several comorbidities (arthritis, GERD, asthma and hypertension). I just called them in one week expecting the "runaround" and was told it was approved!
   — Marcie M.