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Old 09-21-2008, 07:45 PM   #1 (permalink)
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Join Date: Sep 2008
Posts: 2

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Default Insurance problem with Aetna PPO

my Aetna PPO insurance refuse to pay for the surgery.
I'm new to all of this - about to have the surgery soon but my Aetna PPO insurance sent a letter to my Dr. & they wouldn't like to pay for it !
(I'm 52'' - 287 LB).
41 y. suffer from high blood presure(take medications),back problems,kidney problems ( have irreversible damage already), sleep apnea,pre-diabetic,and over all has been trying to lose weight but gain more & more.

I know that I'm in a life-threatening situation & I'm worried.
what can I do in order to have the insurance pay ????

I hug all of you here & prey to get some answers & your help.
thanks in advance,
Rachel
PLS email me at : rachel4us@gmail.com
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Alt Weight Loss Surgery Insurance
Yes, you can often get insurance cover for your Weight Loss Surgery.
Our own Craig "Big-T" Thompson has been there and done that, and he's written an e-book about it.

   
Old 09-21-2008, 10:13 PM   #2 (permalink)
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Location: Tokyo, Japan
Posts: 18,113
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Default

Welcome to the board, thank you for joining us.
Sorry to hear about your denial, but for one, a lot of people go through a few denials before finally getting approval. The first thing to do is to find out the EXACT reason for your denial, and if it's something you can remedy, like lack of records and things, do so. You also need to appeal, so start that process, too.
Don't sit back and wonder, get into action!!!

((((((HUGS))))))) May your journey go well.
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So long as you are putting your best foot forward, then,
PATIENCE and PERSEVERANCE
for any/every endeavor you embark on, are imperative for success.

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Old 09-27-2008, 07:25 AM   #3 (permalink)
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Join Date: Aug 2007
Location: Prattsburgh,NY
Posts: 224

Weight Statistics

Nov.2007
Start Date:
July 1st 2008
Surgery Date:
5' 6"
Height:
296 lb
Start Weight:
132 lb
Current Weight:
150 lb
Goal Weight:
164 lb
Weight Loss:
-18 lb
Lb Left to Lose:
55.4054054054 %
% Lost:
July,2009
Goal Date:

Body Mass Index
47.7704315886
BMI Start:
21.303030303
BMI Current:
24.2079889807
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

I have Aetna and I had no problems getting accepted after I met with everything thet wanted me to do which was 6 months nutrition program and they needed a two year history of my weight.
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