[rachelio]

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

[DocSanae]

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.

[Babs54]

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.

[kiwi92]

Originally Posted by Babs54

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.

I have a quick question. I as well have Aetna, and this question is specifically in regards to the two year history of your weight. I thought they needed a two year diet record on top of your 6 months. If not what do you mean by history / a letter from your doctor stating your weight or records. please let me know
thank you

[DocSanae]

This is a two year old thread. I'm not sure you'll be able to get a good answer to your question. It's best to start a new thread instead. Also, you should call your provider to find out the exact requirements for your particular contract, as some of the requirements may not be the same, even with the same insurance cos.

[kiwi92]

Thank you!! I will do that

[Babs54]

I had to have medical records from my Doctor as to what my weight was for the previous 2 years.I was lucky because I am a bus driver and I have to have a DOT physical every year so i had all that I needed.