Has anyone had this with Aetna??
I had the exact same thing with Aetna. I really think they reject right off the bat hoping alot of people give up. A certain amount will stop. I finally was able to get it covered on the 2nd try. We resent the same and even more proof and boom I was approved.
I will warn you that I am not fighting them over fills. I found out on my 4th fill that they will not cover them. I am going to fight them hard on this. The lapband surgery only works when you are diligent with the fills and they should be paid just like a specialist. They can negotiate for the price of the fill where I can't.