Angie,

I have Aetna insurance and also did the 3 month Multidisciplinary program.  My daughter also has had surgery and so has a friend of mine, all of us having Aetna insurance.  I'm sure you have looked at their clinical bulletin 0157 for the 'requirements' .  If you meet those requirements, there should be no reason why you can not appeal and get this overturned.

In your denial letter, what is the reason they are giving you for denial?  I was denied, my daughter was denied, and my friend was denied.  I put together appeals on all three of them and eventually all three of us were approved. 

Basically what it comes down to is they hgave requirements, and if you meet them, you will get approved.  If you are denied, think of it as a bump in the road but don't give up!!

I will be glad to share the letters I wrote in our appeals.  PM me if you'd like.  

Again, read the denial letter and find out the reason they are denying.  Then, provide that information to them so the decision can be overturned.  

Nan