Question:
How difficult is it to get approval for TT from Aetna?

   — Margaret G. (posted on June 13, 2003)

June 13, 2003
I was denied at 12 months post-op, but I really had no medical documentation for rashes. I felt I actually had a better case for a breast lift/reduction, but was denied that as well. I did not appeal as I wanted to wait and apply when I was further post-op. I am now one week shy of two years and want to apply again. I meet the criteria for the pannus, but I haven't had the rashes so I guess I can't get it for that. I may have developed an incisional hernia that I am monitoring which may give me more clout. I hope you have better luck! I read about some people kind of fudging and giving themselves skin irritations with various talcs, etc. but if this was ever proven that is insurance fraud, so...I hope you have better luck! Molly
   — Molly S.

June 16, 2003
I just wanted to let you know that I was one of the lucky ones. My surgeon sent pictures, medical notes, and a letter of medical necessity and Aetna approved my TT and my arms. I was 10 months out when I had the surgery and I had lost around 128 pounds (I think). Good Luck! Sincerely, Mary Beth
   — Beffy W.