Question:
Has anyone had a problem getting Aetna to approve just a referral?

I was just at my pcps office and asked for a referral for wls to the surgeon that I had been researching. He had a very negatgive attitude and said he will submit a request to Aetna for the referral but they usually dont approve a referral for this type of procedure. I was thinking that it was up to the pcp to give me a referral and to have the acutal surgery approval submitted to Aetna. The way my pcp is talking, I may not even be able to get a referral to a wl surgeon. Any advice from anyone would be appreciated.    — Tanya P. (posted on October 26, 2000)

October 26, 2000
see this link http://www.aetnaushc.com/cpb/data/CPBA0157.htm also I have emailed you woth more words.
   — potterylady

October 26, 2000
As long as the PCP referres you, you should be able to get the referral. It is the procedure that needs the approval. I have Aetna, and had no problems getting a referrall or approval. If you get denied a referral, I would have a chat with your pcp. Call the ins and find out what you need to do to get a consult w/a surgeon.
   — Alison B.

October 26, 2000
I have aetna ushc HMO. I didn't confer with them at all. I went to my pcp, asked for the referrals needed, and went for my endoscopy (required by aetna) and bloodwork. I paid for my psych evaluation on my own. I DID NOT need pre approval for these things. Actually, Aetna is one of the most approving insurances out there, (I was approved in 24 hours!) It's you Primary Care Doctor, hon. Dump HIM!
   — Jeannet

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