Question:
Aetna Select (SM) Open Access?
I am wondering has anyone been approved with this type of insurance? What was your experience with the approval process (your history for surgery?) How long did it take you to get approved or if you were denied what was the reason? BTW it through employment of DELL. THANK YOU! — bridgadean (posted on June 24, 2008)
June 25, 2008
I have Aetna Open POS and I was approved with no problems. I did have to do
the 6 month weigh ins and attend support group meetings. I had GERD and
Sleep Apnea but that was all, my BMI was over 60 though. I think it took
about a week after everything was turned into my insurance but I knew they
would pay before I ever started because it was in my handbook and I called
just to double check. Good luck, Debi
— DEBI R.
June 25, 2008
I agree with the previous posting. I have Aetna (a different plan but
Aetna nonetheless). The good thing about it is Aetna is pretty up front
about how they go by approving. They had two tiers of approval. The first
tier, if you met all the requirements, did not include the 6 months of
supervisoed visits. The second did. So for me, with the 6 months, it took
me exactly 1 year from my initial consultation to my scheduled surgery
date. The year was frustrating and the approval process was slightly
frustrating for me. Aetna, in my case, used the full 30 days to review my
request and then asked for supporting documentation AFTER the thirty days
were up. I called and spoke to one of the agents responsible for pre cert
and she actually sent my information to the directior. He approved,
though. So even though I was angry and frustrated it worked ou in the end.
Visit Aetna.com and look at the requirements. They are pretty good about
it unless your employer excludes the surgery.
— B. Jones
June 26, 2008
I have Aetna but a diffrent kind...It took only about 2 weeks from when
they recieved all of my infio...I had to have 6 months of visits with my
regular doctor...I had to see a dietician twice and I had to have a pych
eval...I had to have 6 months of diet and work-out records and also a sllep
study done...when they got all that I got a letter in the mail...but my
case worker called me before....the best part was that all I had to pay for
the whole surgery was $250.00...that was my co-pay...so i hope everything
goes smooth and easy...Good Luck Elisa
— british88
Click Here to Return