Has Anyone Had Aetna Pay For A Panniculectomy?
this is Aetna's CPB for coverage:
http://www.aetna.com/cpb/medical/data/200_299/0211.html
http://www.aetna.com/cpb/medical/data/200_299/0211.html
Aetna considers panniculectomy medically necessary according to the following criteria:
- Panniculus hangs below the level of the pubis; and
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The medical records document that the panniculus causes chronic intertrigo (dermatitis occurring on opposed surfaces of the skin, skin irritation, infection or chafing) that consistently recurs over 3 months while receiving appropriate medical therapy, or remains refractory to appropriate medical therapy over a period of 3 months.

I AM a BIG FAT LOSER! & a ONELANDER!!