| |
|---|
| Insurer Policy |
|
| Insurer Status | Approved after first letter (March 08) |
| Surgery Type |
Laparoscopic RNY |
| Weeks to approval |
1 |
| Comorbidities |
Diabeties,Nash, Rapid Heart Rate, Polysistic Ovarian Syndrome, |
| Policy |
Don't know |
| Comments |
I haven't really had any problems with the company. They are pretty quick about things and I have always had a good responce of approval. |
| Source |
Tracie H |
| - |
|---|
| Insurer Policy |
- (-) |
| Insurer Status | First letter sent - still waiting (03/07/05) |
| Source |
Ingrid K |
| . |
|---|
| Insurer Policy |
. |
| Insurer Status | Approved after first letter (04/22/05) |
| Source |
Robin H |
| ? |
|---|
| Insurer Policy |
? (Blue Cross (Federal)) |
| Insurer Status | Approved after first letter (August, 2006) |
| Surgery Type |
Laparoscopic RNY |
| Weeks to approval |
4 |
| Comorbidities |
High Blood Pressure, Arthritis, Breathing difficulties, Gerd |
| Policy |
Must be medically necessary |
| Comments |
I had to go through 6 months on a diet through a doctor to get approval. That was the hard part, because I wasn't very successful with that. After the six months my doctor had to send them another letter with the information on the six months of dieting through her. It was a total waste of time, but at least it was approved and I immediately had my surgery. They didn't mention this six month thing when I had called prior to this to see if they even covered it. They only cover on certain plans. (Federal being one of them). I had an HMO and had to wait until I could switch to a PPO to finally get the ball rolling. Had I known I had to do the six month thing I would have started on that when I still had the HMO. Just want other people to be aware of that. |
| Source |
Vicki M |
| ACCESS MEDICAID |
|---|
| Insurer Policy |
ACCESS MEDICAID (medical assistance) |
| Insurer Status | Approved after appeal letter (08/15/06) |
| Comorbidities |
Arthritis, Shortness of breath, CHRONIC PAIN |
| Policy |
Don't know |
| Source |
Rybecca S |
| Access Medical |
|---|
| Insurer Policy |
Access Medical (Open Access Plus) |
| Insurer Status | Approved after appeal letter (04/24/08) |
| Surgery Type |
Laparoscopic RNY |
| MD-supervised programs |
1 (24 weeks) |
| Comorbidities |
hypertention, ostero-arthristis, SOB, GERD, joint pain, back pain |
| Policy |
Must be medically necessary |
| Comments |
Hearing about the nightmares with Cigna has scared me to death. My information was submitted on 4/18/08. Cigna requires 6 months supervised diet, psychology, nutrition, etc. I completed everything they wanted. I was denied NOT because of the medical information being insuffient, or gaps. They dinied me because the hospital I am dealing with is not a "Center of Excellance". They are trying to get me to go to University of Miami or Mercy Hospital. The doctors office told me that Memorial Regional Hospital in Hollywood was a Center of Excellence in Bariartric Surgery. Cigna stated that it was not a Cigna problems but verbiage in the contract my company has with Cigna. I was on the phone with my Human Resources on 4/24/08 and 4/25/08. They told me things should be worked out by next week. My surgery was scheduled for 5/5/08. I have submitted so much info to my work human resources proving the hospital was a Center of Excellence. At this time I know my companies Human Resources and Cigna are talking and hopefully will get some news next week. |
| Source |
Matthew G |
| Insurer Policy |
Access Medical |
| Insurer Status | Denied after first letter (06/26/04) |
| MD-supervised programs |
2 (28 weeks) |
| Policy |
Written exclusion policy |
| Comments |
They will not budge no matter how much you plead for your life. My family has history of obesity, diabetes, and numerous other obesesity related problems and I am afraid I may be next. My weight is skyrocketing. and my physical abilty is becoming more limited. |
| Source |
Sharon H |
| accordia |
|---|
| Insurer Policy |
accordia (first health ppo) |
| Insurer Status | Approved after appeal letter (07/20/05) |
| Source |
Cara W |
| Accountable Health |
|---|
| Insurer Policy |
Accountable Health (AHP) |
| Insurer Status | Approved after first letter (11/27/01) |
| Surgery Type |
Laparoscopic RNY |
| Weeks to approval |
2 |
| Pre-Op BMI |
46.6 |
| Comorbidities |
Hypertension |
| Policy |
Must be medically necessary |
| Comments |
Make sure you have provided all the information they expect like a consult with a nutritionist, a psychiatrist, office notes that document your obesity struggle (ie diet medications took) and documentation of your health problems
They will then possily send a confirmation letter to your doctor which simply restates all the information that was provided or ask for something missing.
Two days later I was approved. |
| Source |
Rebecca G |
| ACEC |
|---|
| Insurer Policy |
ACEC (ACEC Life/Health Plan) |
| Insurer Status | (01/11/03) |
| Source |
John T |
| Acordia |
|---|
| Insurer Policy |
Acordia (Food Lion Benefits) |
| Insurer Status | Approved after first letter (12/11/01) |
| Surgery Type |
Open RNY - proximal |
| Weeks to approval |
12 |
| Pre-Op BMI |
45.8 |
| MD-supervised programs |
1 (26 weeks) |
| Comorbidities |
arthritis, asthma |
| Policy |
Must be medically necessary |
| Comments |
It took 3 months to get approval but they did approve me. Unfortunately, they approved me approx. 30 days before they lost my company\'s insurance account and my surgeon was unable to get me in before the change. I assumed I would have to start all over after the first of the year. Well, strike 2 -- my surgeon would not accept my new insurance. So I was back to square 1, I had insurance approval, no surgeon and 3 weeks to get this done. I was very lucky that a friend gave me the name of another surgeon who has managed to rearrange his schedule and fit me in. I feel like the angels are looking out for me. |
| Source |
Pam S |
| Insurer Policy |
Acordia (Beech Street) |
| Insurer Status | First letter sent - still waiting (08/25/02) |
| Source |
Carol H |
| Insurer Policy |
Acordia |
| Insurer Status | Approved after first letter (03/04/03) |
| Surgery Type |
Laparoscopic RNY |
| Pre-Op BMI |
45.3 |
| Policy |
Must be medically necessary |
| Comments |
They are very nice to deal with,they took there time to listen to me and didn't have any problem in getting an approval from them it only took them one day to call me and let me know the good news!! |
| Source |
Zailet A |
| Insurer Policy |
Acordia |
| Insurer Status | Approved after first letter (03/28/03) |
| Surgery Type |
Open RNY |
| Weeks to approval |
8 |
| Pre-Op BMI |
56.9 |
| MD-supervised programs |
2 (56 weeks) |
| Comorbidities |
Gerd, Hypertension, mild sleep apnea, plantar facitis, back pain(herniated disc) |
| Policy |
Must be medically necessary |
| Comments |
It has been my experience that any time that I have called the company to check on the status of things that everyone that I spoke with was very helpful and willing to go above and beyond to find out what was going on. They were very willing to answer questions for me and the were willing to help me get things done that needed to be done. My experience with this company has been a very pleasent one. I don't feel like the insurance company stalled at all, I wished that it didn't take so long for things like this. I feel that any company weather it is an insurance company or what, that sometimes they do respond more to persistence. I am not saying that was the case here but sometimes persistence is a good thing. The only thing that I would recommend to people dealing with this company or any other insurance company is not to give up and remember that the people on the other end is trying to help you. You need to remember to be patient, don't get hateful with them and explain things as throughly as you can and give all the information that you think might help. Remember to say Thank you and tell them how much you appreciate their help. You can catch more flies with honey than with vinegar. |
| Source |
Laura G |
| Insurer Policy |
Acordia (unsure) |
| Insurer Status | Approved after 2nd appeal letter (06/25/03) |
| Surgery Type |
Laparoscopic RNY |
| Pre-Op BMI |
41.5 |
| MD-supervised programs |
2 (24 weeks) |
| Policy |
Written exclusion policy |
| Comments |
They are impossible , they work as hard as they can to ensure that you will never have the surgery.
If you can opt not to have this insurance , please do so. |
| Source |
Geni H |
| Insurer Policy |
Acordia |
| Insurer Status | Approved after first letter (10/01/03) |
| Surgery Type |
Laparoscopic RNY |
| Pre-Op BMI |
66.9 |
| Policy |
Must be medically necessary |
| Source |
Sandy R |
| Insurer Policy |
Acordia (First Health/Accordia) |
| Insurer Status | Approved after appeal letter (04/07/04) |
| Source |
Monica W |
| Insurer Policy |
Acordia |
| Insurer Status | Approved after first letter |
| Surgery Type |
Laparoscopic RNY |
| Pre-Op BMI |
52.3 |
| Policy |
Must be medically necessary |
| Comments |
This company is great. My company has had over 10 employees undergo this surgery. From what I have been told, it takes less than a week to obtain approval. |
| Source |
Kimberly T |
| Insurer Policy |
Acordia (PPO) |
| Insurer Status | Approved after appeal letter (8/30/04) |
| Surgery Type |
Laparoscopic RNY - proximal |
| Weeks to approval |
4 |
| MD-supervised programs |
2 (26 weeks) |
| Policy |
Must be medically necessary |
| Comments |
Original paperwork submitted 8/23/04. Found out by phone I was denied 8/30/04 because of no documentation showing 6 months of physician supervised weight loss attempts. Surgeon's office sent in paperwork prematurely without having received all the necessary documentations and evaluations.
I am trying to get all the missing documentation together and fax it is myself.
Strongly suggest patients get a copy of all documentation sent in so you can have it in case it "gets lost" at the MD or Insurance company level.
9/19 Approved after appeal. Surgery scheduled for 10/20/04.
|
| Source |
Joann M |
| Acordia National |
|---|
| Insurer Policy |
Acordia National |
| Insurer Status | Approved after first letter (11/02/05) |
| Surgery Type |
Laparoscopic Lap Band |
| Weeks to approval |
6 |
| Comorbidities |
Arthritis, Chronic skin conditions, Depression, Hypertension, Sleep apnea |
| Policy |
Must be medically necessary |
| Comments |
I had no problems, they were great! I followed the advise from Dr. Murr's office on what was needed. The insurance company didn't request any other additional info either. Just make sure you have exactly what the doctor's office says you will need. (I think it took 6 weeks because the request was sent close to the Thanksgiving holidays.) |
| Source |
Dawn B |
| Insurer Policy |
acordia national (acordia national) |
| Insurer Status | Approved after first letter (03/09/2006) |
| Surgery Type |
Laparoscopic RNY |
| Pre-Op BMI |
45.1 |
| Comorbidities |
Obesity hypoventilation syndrome, Shortness of breath, Sleep apnea, Stress incontinence |
| Policy |
Don't know |
| Source |
Carol L |
| Administrative Services |
|---|
| Insurer Policy |
Administrative Services (BeechStreet) |
| Insurer Status | Approved after 2nd appeal letter (5/29/00) |
| Surgery Type |
Laparoscopic RNY |
| Policy |
Written exclusion policy |
| Comments |
There is an exclusion in my policy.:((
The insurance was denied twice due to the exclusion. I had to go before the board of trustees at the plumbers union hall.(my husbands employer) Once I did that I got the approval. One thing I strongly recommend is to have a (1) contact person. Even after I received the approval, the different clerks at the insurance company didn't know what to do next or who was supposed to do it.(letter of approval) Having the 1 person to deal with really helped out. |
| Source |
Jan R |
| Adnea |
|---|
| Insurer Policy |
Adnea (PPO) |
| Insurer Status | Approved after first letter (05/09/06) |
| Comorbidities |
Hypertension |
| Source |
Alma M |
| Aethna |
|---|
| Insurer Policy |
Aethna (HMO) |
| Insurer Status | Approved after first letter (03/19/01) |
| Surgery Type |
Open RNY |
| Weeks to approval |
1 |
| Pre-Op BMI |
51.0 |
| Policy |
Must be medically necessary |
| Comments |
Approved within a week. |
| Source |
Christina L |
| Aetna |
|---|
| Insurer Policy |
Aetna (BGI) |
| Insurer Status | Approved |
| Source |
Kelly G |
| Insurer Policy |
Aetna (Managed Choice w/ Capital One) |
| Insurer Status | Approved after first letter (12/2/1999) |
| Surgery Type |
Open RNY |
| Weeks to approval |
1 |
| Pre-Op BMI |
57.7 |
| MD-supervised programs |
2 (28 weeks) |
| Policy |
Must be medically necessary |
| Comments |
I never had to call them. After my doctor sent the info in I was approved in a little over a week. |
| Source |
Chad B |
| Insurer Policy |
Aetna (HMO) |
| Insurer Status | Approved after first letter (8/4/99) |
| Surgery Type |
Open RNY |
| Weeks to approval |
6 |
| Pre-Op BMI |
52.1 |
| Comorbidities |
infertility, hypothyroidism, and 3 wks before surgery diabetes II insulin dependent |
| Policy |
Must be medically necessary |
| Comments |
Usually with this company i HAVE TO FIGHT THEM FOR ANY KIND OF COVERAGE OUTSIDE
(sorry for the caps)preventative- but for some reason I had enough cause to warrent their
"medically necessary" rule. I will say my documented weight loss history was very scetchy ( my doctor
had records of it - 2 or 3 pages anyway- but every time I actually showed up for an appointment- it showed
I gained weight which clearly proves I wasn't following the diet. And I still got approved! |
| Source |
Paula S |
| Insurer Policy |
Aetna (QPOS/HMO) |
| Insurer Status | Approved after appeal letter (6-21-99) |
| Surgery Type |
Open RNY - proximal |
| Weeks to approval |
10 |
| Pre-Op BMI |
75.1 |
| Comorbidities |
arthritis, frequent urination, low back pain, shortness of breath |
| Policy |
Must be medically necessary |
| Comments |
Dealing with Aetna was quite a task. We
had to push them. They deny everyone at first
that is their m.o. Then you must prove you
have had medically supervised diet programs
for the 1st appeal process. The key here is
medically supervised. If not medically super-
vised they are not likely to approve, rather
they are more hesitant. Their appeals process
takes much longer then they say. should've
been done in 30 days instead took 55 just for
the 1st appeal. but it got done. Just keep
pushing. |
| Source |
Samuel D |
| Insurer Policy |
Aetna (QPOS) |
| Insurer Status | Approved after appeal letter (4/10/00) |
| Surgery Type |
Open RNY - proximal |
| Pre-Op BMI |
60.1 |
| MD-supervised programs |
2 (8 weeks) |
| Comorbidities |
Sleep apnea, PCOS |
| Policy |
Must be medically necessary |
| Comments |
The appeal process went well. I had a letter 2 weeks after sending the appeal, that they had reversed their decision. I sent a sinple letter explaining why I needed the surgery, and had a letter of recommendation from my primary, as well as my gyno. |
| Source |
Theresa S |
| Insurer Policy |
Aetna (HMO) |
| Insurer Status | Approved after first letter (11/14/99) |
| MD-supervised programs |
2 (10 weeks) |
| Source |
Ann M |
| Insurer Policy |
Aetna |
| Insurer Status | Approved after first letter (09/27/99) |
| Surgery Type |
Open RNY |
| Pre-Op BMI |
40.9 |
| Comorbidities |
Arthritis,high blood pressure, re-occuring kidney infections. |
| Policy |
Must be medically necessary |
| Comments |
I have Aetna Pos. They approved in only 4 days! I had a letter from my pcp,which I prepared and my pcp signed. I really did my homework. The bottom line is you sometimes have to take matters into your own hands. So far Aetna has been just great. I live in florida. |
| Source |
~Donna~ V |
| Insurer Policy |
Aetna |
| Insurer Status | Approved after first letter (08/31/00) |
| Surgery Type |
RNY |
| Weeks to approval |
5 |
| MD-supervised programs |
1 (26 weeks) |
| Comorbidities |
Arthritis of the knees, back and feet, Gerd, High Cholesterol, Asthma and Depression |
| Policy |
Must be medically necessary |
| Comments |
I did not have one problem with Aetna USHC, My Doctors office handled everything for me. I did my part by having all my ducks in a row. I gathered all the information I could from all my past Doctors about my health and diet history, and I even had a letter from my Psychotherapist who has been helping me through the depression. I never once had to call Aetna nor did my DRs office. However, they do take a few weeks to hear from them, just be patient. |
| Source |
Julie K |
| Insurer Policy |
Aetna (group) |
| Insurer Status | Approved after first letter (06/29/01) |
| Surgery Type |
Open RNY |
| Weeks to approval |
2 |
| Pre-Op BMI |
53.6 |
| MD-supervised programs |
2 (17 weeks) |
| Comorbidities |
Sleep apnea, diabetes, hypertension |
| Policy |
Don't know |
| Comments |
Aetna is a very good insurance company.
I had BC/BS health options for 2 years before
I had Aetna and had to deal with appeal
after appeal. Aetna approved me after one
letter. |
| Source |
JoAnn S |
| Insurer Policy |
Aetna (HMO) |
| Insurer Status | (05/26/03) |
| Surgery Type |
Lap Band |
| Pre-Op BMI |
41.5 |
| MD-supervised programs |
1 (8 weeks) |
| Source |
Ivette L |
| Insurer Policy |
Aetna |
| Insurer Status | Approved after first letter (11/27/99) |
| Surgery Type |
Open RNY |
| Weeks to approval |
10 |
| Pre-Op BMI |
42.9 |
| Comorbidities |
acid refllux, orthopedic problems, arthritis |
| Policy |
Must be medically necessary |
| Comments |
My initial set of papers "never reached them"...probably lost at the bottom of someone's trash can! Surgeons office faxed second set and within 2 weeks I was approved. My advice is keep checking on where your paperwork is. |
| Source |
Cheryl M |
| Insurer Policy |
Aetna |
| Insurer Status | Approved after first letter (09/28/00) |
| Surgery Type |
Open RNY |
| Pre-Op BMI |
50.1 |
| Comments |
Have to say I had no problems. Had an approval in a week.My husband is also going to try to have this surgery so we will see how that goes. |
| Source |
Renee D |
| Insurer Policy |
Aetna (PPO) |
| Insurer Status | Approved after first letter (04/05/00) |
| Surgery Type |
Laparoscopic RNY |
| MD-supervised programs |
2 (11 weeks) |
| Policy |
Must be medically necessary |
| Source |
Brenda N |
| Insurer Policy |
Aetna (QPOS) |
| Insurer Status | Approved after appeal letter (12/28/99) |
| Surgery Type |
Other |
| Weeks to approval |
28 |
| Comorbidities |
N/A |
| Policy |
Must be medically necessary |
| Comments |
Originally consulted with Dr. Butler in Orlando of 4/16/99. Was told my request letter would be mailed on 4/19/99 to Aetna. Later that month upon contacting Aetna I was told that there was no record of request. On two seperate occasions Dr. Butler's staff assured me that my letter had been sent. Upon continued follow up it was finally found that no letter was ever sent by Dr. Butlers staff despite their assurances. Request to Aetna was finally sent on 6/14/99.
This is one of the many reasons I chose to consult with another physician. |
| Source |
Barbara C |
| Insurer Policy |
Aetna |
| Insurer Status | Approved after 2nd appeal letter (01/06/00) |
| Surgery Type |
RNY |
| Weeks to approval |
36 |
| Pre-Op BMI |
49.3 |
| Comorbidities |
diabetes,, non tested sleep apnea.. arthritis..and every other ache and pain know to mankind |
| Policy |
Must be medically necessary |
| Comments |
YUCK!!!!!!! They stalled through the first appeal and only when threatend with hiring Walter Lindstrom...I finally got approval.. 9 months later..Don't give up... keep calling |
| Source |
Lisa R |
| Insurer Policy |
Aetna (Indemnity) |
| Insurer Status | Denied after first letter (04/07/00) |
| Comorbidities |
lipidemia, PCOS, diabetes mellitus, depression |
| Policy |
Must be medically necessary |
| Comments |
I submitted a package through my surgeon that included over 100 pages of labs, letter from PCP, Psyc, diet history, etc. I was shuffled around for weeks, no one knew who had my file. I was denied for lack of a Dr. supervised diet, when proof of such was incl. in the pkg. When I spoke to the nurse who processed my file it was immediately clear that she was not at all familiar with my pkg. She took the addt'l info to submit for review and when I called a week later I was told I was denied on 4/7, two days BEFORE I pointed out that my pkg contained proof of a dr supervised diet. When I asked if the reviewer shouldn't be informed of the addt'l info since that is why I was denied, she told me I could appeal. I was expecting much better based on what others have said and am totally disgusted by their inefficiency. One person I spoke to had the nerve to tell me that this wasn't an urgent request to them because this is "cosmetic surgery afterall"!! Good luck, I hope others are more successful than I was. I will be appealing and hiring a lawyer if that is not successful. |
| Source |
Linda K |
| Insurer Policy |
Aetna (Open Choice PPO) |
| Insurer Status | Approved after first letter (02/01/00) |
| Source |
Nancy |
| Insurer Policy |
Aetna (ppo) |
| Insurer Status | Approved after first letter (02/04/00) |
| Surgery Type |
Open RNY |
| Weeks to approval |
2 |
| Pre-Op BMI |
44.0 |
| Policy |
Must be medically necessary |
| Source |
Kim G |
| Insurer Policy |
Aetna (hmo) |
| Insurer Status | Approved after first letter (02/17/00) |
| Surgery Type |
Open RNY - proximal |
| Weeks to approval |
1 |
| Pre-Op BMI |
42.4 |
| MD-supervised programs |
2 (9 weeks) |
| Comorbidities |
GERD, arthritis, back trouble |
| Comments |
i was told that Aetna hmo takes a long time to approve you. i was approved in 2 days. i went into this totally prepared in case i was denied. i did my homework, i had any necessary paperwork ready if they were to ask for it, to save time.but i was never asked for any additional info. |
| Source |
Annette C |
| Insurer Policy |
Aetna (US Healthcare) |
| Insurer Status | Approved after first letter (04/24/00) |
| Surgery Type |
Open RNY |
| Weeks to approval |
1 |
| Pre-Op BMI |
52.7 |
| MD-supervised programs |
2 (28 weeks) |
| Policy |
Must be medically necessary |
| Comments |
I didn't have a bad experience with my
insurance. I got approved 5 days after
the first letter was faxed over. |
| Source |
Carla S |
| Insurer Policy |
Aetna (US Healthcare) |
| Insurer Status | Approved after first letter (02/21/00) |
| Surgery Type |
Open RNY - distal |
| Weeks to approval |
4 |
| Pre-Op BMI |
53.8 |
| MD-supervised programs |
2 (16 weeks) |
| Policy |
Must be medically necessary |
| Comments |
I was very please with the time it took them to approve my surgury. Everytime I called Aetna there were always helpful. I was persistant in calling them to find out the status of my claim. The sqeeky wheel gets the oil :o) |
| Source |
Christina L |
| Insurer Policy |
Aetna |
| Insurer Status | Approved after first letter (03/11/00) |
| Surgery Type |
Open RNY - proximal |
| Weeks to approval |
4 |
| Pre-Op BMI |
56.8 |
| MD-supervised programs |
1 (30 weeks) |
| Comorbidities |
sleep apnea, arthritis, gerd, chronic skin infections, depression |
| Policy |
Must be medically necessary |
| Comments |
aetna handled my case very well, the wait was difficult, but reasonable. i did begin calling at two weeks at least 2 times a week. im not really sure if that helped, but it made me feel better. |
| Source |
Mary R |
| Insurer Policy |
Aetna (HMO with out of network benefi) |
| Insurer Status | Approved after first letter (May 3, 2001) |
| Surgery Type |
Laparoscopic RNY - proximal |
| Comorbidities |
hypertension, hyperlipidemia, degenerative joint disease,infertility |
| Policy |
Must be medically necessary |
| Comments |
My coverage became effective on May 1, 2001 (my old insurance company wouldn't even acknowledge that they received a claim for approval) and Karen from Dr. Marema's office faxed the paperwork to Aetna on May 2nd and I was APPROVED WITHIN 24 HOURS! Now that's the way it should be...I guess I chose the right company and the right surgeon FOR SURE!
I would recommend AETNA to anyone that needs this surgery! |
| Source |
Beth P |
| Insurer Policy |
Aetna (ppo) |
| Insurer Status | Approved after first letter (05\07\01) |
| Surgery Type |
Open RNY |
| Weeks to approval |
2 |
| MD-supervised programs |
5 (128 weeks) |
| Comorbidities |
arthritis, hypertension, arythmia, heal spurs, cartlidge deterioration in the knees, headaches, depr |
| Policy |
Must be medically necessary |
| Comments |
I never had to deal with the insurance co.
I only called them about 10 days after Pat faxed the doctors info over and I had already been approved. |
| Source |
Suzanne M |
| Insurer Policy |
Aetna (Managed Choice) |
| Insurer Status | Denied after first letter (03/29/00) |
| Surgery Type |
Laparoscopic RNY |
| Weeks to approval |
6 |
| Pre-Op BMI |
39.4 |
| Policy |
Must be medically necessary |
| Comments |
My insurance company has given me and the doctor's office many problems. They mailed an approval letter to me and the doctor after the first try but then on the day of surgery they called my doctor's office and said that it was not precertified. Well I was in surgery when they called. Now I have had the surgery and they are refusing to pay any of my doctor bills but we are still fighting them. Stay as far away form Aetna Managed Choice as you can !!!!!!!!!!!1 |
| Source |
Dawn J |
| Insurer Policy |
Aetna |
| Insurer Status | Approved after first letter (04/01/00) |
| Surgery Type |
RNY |
| Source |
Renee W |
