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th186607@gmail.com

LAP-BAND Patients
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  1. Like
    th186607@gmail.com got a reaction from Martha3622 in Seeking A Dr That Will Fight Aetna - Aetna Says Surgery Excluded - But It Is Medically Necessary   
    my current doctor (or should I say his office staff) does not seem like they are concerned with
    getting this thru. They were all eager in the beginning and now there needs to be a push with the insurance - they are hardly returning my calls, and says I need to contact my HR Dept.(which I have - waiting on a call to be returned from them). I am ready for this. I need this.
  2. Like
    th186607@gmail.com reacted to KS Fort Worth in Seeking A Dr That Will Fight Aetna - Aetna Says Surgery Excluded - But It Is Medically Necessary   
    I would suggest you contact Dr. David Kim or Dr. Wade Barker. They are both in the DFW area and do a LOT of these, so their people are very experienced at dealing with insurance. (I chose Dr. Kim but did one consult with Dr. Barker, and have nothing against their practice.) There are several other bariatric surgeons in the Metroplex who also do a large volume. I have Aetna and had no problems, but I do know that the same company can have different policies with different employers. The insurance experts at one of these surgeon's office can help you wade through the "jungle." If you've already done a lot of the prepwork, you have a RIGHT to copies of everything you've had done, sleep studies, blood work etc. Could save everybody some time. You should also be able to get a copy of your health insurance policy from either Aetna or your husband's company. Sometimes, Insurance companies play games and will deny something just to see if you will go away, and approve it on resubmittal.
    Good luck, and don't give up!
  3. Like
    th186607@gmail.com reacted to Izuri in Seeking A Dr That Will Fight Aetna - Aetna Says Surgery Excluded - But It Is Medically Necessary   
    i don't know of very many doctors, but I do want to wish you luck. I know that I had called aetna when I thought it was going to be the insurance my family would be switching to, and their requirements are pretty strict. I was also told at the time that the employer is the one who chooses whether or not to include bariatric surgery. I don't know how true or untrue that is, but that might be part of the issue. (((((HUG))))) I'm sorry they are being such a PITA, I really do hope things work out for ya.

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