Question:
Anyone work for eds w/success getting approval.......?

I was denied w/Blue choice PPO/ EDS....But now I have Aetna do you think I will have any luck.....It's a company exclusion but Im hoping Atena doesn't work the same as Blue cross.....    — Snowflake48342 (posted on January 11, 2004)

January 11, 2004
I have Aetna PPO insurance and was denied right away b/c I didnt have my ducks in a row. I was told that I MUST have 6 months of dr supervised diet (in the last 2 yrs) that includes exercise and nutritional consult which must be documented in the record throughout. Im appealing but just in case Ive started a diet/exercise/nutrition program with my doctor. Good luck!!!!
   — leslee4567

January 11, 2004
I have Aetna and have fought with them for 2 years. I recently completed my physician directed diet for 6 months (documented) and was informed that I also needed to see a nutritionist in conjunction. However, my denial letter did not mention a nutritionist, only the diet, so they recended the denial and I was approved. Go to their website www.aetnal.com and read all the requirements and meet each one. The insurance lady at my Drs. office said that Aetna is the hardest to get approval.
   — Julie S.