Recent Posts
Hello everyone.. I was denied from Aetna on Sept 17 2012... after 6 longs months on the program to get approved. I was denied due to not having 2 years worth of weight history. My BMI is 63 and I'm 24!! that beyond needing this surgery!! Finally after 2 months of being depressed 
I've decided to see what can I do to get approved. I would love if someone can help on writing or brainstorming the perfect letter to get approved. If anyone has pointers or the best practice to writing this letter please message me..thanks
on 11/5/12 1:56 pm - Goodyear, AZ
Do you know what Medicare's specifcs are on this criteria?
you should contact your insurance company and request this info. every insurance company is different some require a 6 month supervised diet history others only 3 and others none at all just proof your bmi has been over 40 for a certain period of time. The only way to be sure is to contact united and ask what are the requirements.
My employer's health insurance (self insured) excludes WLS of any kind. I am gearing up to go after them to cover it. They are big on employee health and have all kinds of programs. I also discovered from the doctor's office that they used to cover it.
I am going to put together a package with information to present to the VP of HR that is in charge of this stuff. Has anyone seen such a package out there in the world? Has anyone created one? Does anyone have data/information that I can utilize to create this?
As I don't have the money and will have to 2nd mortgage the house, etc. I am pretty determined to beat these bushes until the money falls out.
Any and all help appreciated.
Read more: http://www.weightlosssurgery.proboards.com/index.cgi?action= display&board=mbdata&thread=5642#ixzz2BOBcoB7U
"Let us not glide through this world and then slip quietly into
heaven, without having blown the trumpet loud and long for our
Redeemer, Jesus Christ. Let us see to it that the devil will hold a
thanksgiving service in hell, when he gets the news of our departure from the field of battle." - C. T. Studd
Do you mind me asking what interest rate you got? I'm needing to finance part of my surgery and am looking for a company to use. Thanks :)
Guess i should report back... Was approved in 3 days without the 6 month weight loss...
My name is Erica I'm 20 and I got denied by Aetna to have my VSG. I stared researching appeal letters and I've been reading your replies and I was hoping you can help me with my appeal letter or send me a copy of yours so I can at least have some idea on what to say. I got through the pre surgical requirements part and my coordinator was so confident that I wouldn't get denied she had me starting my pre sergical testing and it came back I was denied. When I read the denial letter it simply said I was denied because bariatric surgery wasn't covered on my plan but they didn't include where it says that in the letter. My mom and I read the fine print on every paper Aetna ever sent us and it doesn't say that bariatric surgery isn't covered anywhere, so my surgeon said we should appeal it and it should be approved. This is where you come in to save the day!
Hockeymom87 · 0 replies · 817 views
