Anyone w/ Activa Benefits in Gr. Rapids ins.??

Hi there.  I also have Aetna, but the PPO.  The guidelines are still the same though.  I talked to the nurse at Aetna who does the review of the authorization request.  I asked her about the 3 month mutlidisciplinary thing and she said "You can't go through a doctor.  Doctor's don't know anything about diets!  You have to go to a dietician."  yes, she really said that.  She told me that my dietician and PCP had to have everything documented in my medical records.  So I'm going through a dietician and meeting with her on a weekly basis for now.  I also have to go to my PCP each month as well.   So I would call them and ask about what you are doing.  You will have a person specifically assigned to your member group. 

As far as behaviour health, did you every see a psychiartrist/physcologist?  My dietician said she could do all 3 (diet, exercise, and behavioral).  I wasn't required to do a psych eval by my doc, so I hope the program with the dietician is ok.  Did you keep track of what you ate and how much you exercised using any tracking logs?  That is what I am required to do for my program.  If you have those, then they should prove to them what behavior you had in the last 6 months. Good luck!  Please let me know what happens.  I don't really trust the insurance companies, and I work for one!

Oops, my bad.  Guess I shouldn't be posting late at night when I'm tired.