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Topic: RE: Question on 3 month option with aetna
Hi - I have Aetna and I had surgery along with my three kids. We all were approved doing the 3 month multidisciplinary program. Two of us were denied at first and I had to appeal but it was overturned. I have documentation I can send you if you have questions about what is required.
You don't need to see an exercise therapist, we simply documented our exercise with our physician. although, we did see a dietician who also was an ercise specialist and she documented our exercise program.
I will send you a PM with further info of how we got approved though Aetna and if you have questions feel free to PM me!
Nan
You don't need to see an exercise therapist, we simply documented our exercise with our physician. although, we did see a dietician who also was an ercise specialist and she documented our exercise program.
I will send you a PM with further info of how we got approved though Aetna and if you have questions feel free to PM me!
Nan
Nan
HW 300 / SW 280 / CW 138 / GW 140
Hit Goal 4/2/2010
Topic: Aetna diet
My agent told me Aetna does not require a diet in order to be qualified for surgery. Does anyone know if this is true?
Topic: Insurance wording
I have BCBS of TX PPO I have been reading my Benefits book and it has this listed for wieght loss:
Any servicesAny services or supplies provided for reduction of obesity or weight, including surgical
procedures,
even if the Participant has other health conditions which might be helped by a reduction of obesity or
weight. or supplies provided for reduction of obesity or weight, including surgical procedures,
even if the Participant has other health conditions which might be helped by a reduction of obesity or
weight.
But it also states exculsions:
Any services or supplies which are not Medically Necessary and essential to the diagnosis or direct care
and treatment of a sickness, injury, condition, disease, or bodily malfunction
If the DR states this medically necesasry do you think it may cover weight loss surgery.
Any comments welcomed.
Thanks
Any servicesAny services or supplies provided for reduction of obesity or weight, including surgical
procedures,
even if the Participant has other health conditions which might be helped by a reduction of obesity or
weight. or supplies provided for reduction of obesity or weight, including surgical procedures,
even if the Participant has other health conditions which might be helped by a reduction of obesity or
weight.
But it also states exculsions:
Any services or supplies which are not Medically Necessary and essential to the diagnosis or direct care
and treatment of a sickness, injury, condition, disease, or bodily malfunction
If the DR states this medically necesasry do you think it may cover weight loss surgery.
Any comments welcomed.
Thanks
Topic: RE: Question on 3 month option with aetna
Ok well then I am heading in the right direction. I joined a gym and the trainer there agreed to document my progress. Thank you that helped clear my confusion. How long did it take for yr approval?
Mrs. Glow 
Topic: Medicaid
Hey I'm a newbie. I haven't had a procedure done yet. My question is....I have been approved for Medicaid now what do I do. Please help. Thanks in advance.
Topic: RE: Question on 3 month option with aetna
Aetna just approved me after the 3-month regimen. I enrolled in an all-inclusive program where I met with a nurse, doctor, and dietician weekly. I just had to keep track of my physical activity - no one had to sign me in, watch me exercise, or anything else like that. I just tried to burn 2,000 calories a week. I was most nervous about the exercise portion of the regimen, however.
I have heard of people fulfilling this requirement by going to the gym and asking the front-desk people to sign that they were there. Alternatively, you can keep a log of exactly what you do, daily, and then talk to your doctor and nutritionist about it at each visit.
Good luck. That was the most nerve-wracking part about this whole thing.
I have heard of people fulfilling this requirement by going to the gym and asking the front-desk people to sign that they were there. Alternatively, you can keep a log of exactly what you do, daily, and then talk to your doctor and nutritionist about it at each visit.
Good luck. That was the most nerve-wracking part about this whole thing.
HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"
M1: -24 (205) | M2: -14 (191) | M3: -11 (180) | M4: -7 (173) | M5: -7 (166) | M6: -8 (158) | M7: -11 (147) | M8: -2 (145) | M9: -3 (142) | M10: -2 (140) | M11: -4 (136) | M12: -2 (134) | M13: -0 (134) | M14: -3 (131) | M15: +4 (135) | M16: +2 (137)
Topic: Question on 3 month option with aetna
I choose the three month option. I had my first appointment with the Doctor, I go see the nutritionist tomorrow. My question is: What is an excercise therapist. What or my options for this requirement? I looked unto getting a personal trainer, but that is to expensive. What did you guys do to meet that requirement?
Mrs. Glow
Topic: RE: BCBS of ND. Frustrated!
Your thinking sounds right to me. Have you called your insurance company to specifically ask them why you have a bill for $900? Have you called the hospital? I would ask them those questions. Insurance is so crazy and confusing. It is quite possible something was charged as being out-of-network, or there was a coding error somewhere.
Good luck!
Good luck!
HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"
M1: -24 (205) | M2: -14 (191) | M3: -11 (180) | M4: -7 (173) | M5: -7 (166) | M6: -8 (158) | M7: -11 (147) | M8: -2 (145) | M9: -3 (142) | M10: -2 (140) | M11: -4 (136) | M12: -2 (134) | M13: -0 (134) | M14: -3 (131) | M15: +4 (135) | M16: +2 (137)
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