lapbandmel

It's been a year for me and I'm still not approved.. in Cali. We appealed several times too.

Yea. Because of exclusions. In their insurance book which I read. It states the exclusions but also states that if a person is 100 over weight. Diabetic. And other things such as sleep apnea which I have. They would cover surgery. I took that page scanned it and had it sent with highlighted parts. Lol reminding them what their book says. But I don't think the appeals dept. Sent it in.

I have all the cormobidities to be able to be approved ... But I have been denied 6 times. Going thru the appeals dept. We have appealed over and over. I lost hope in this surgery center. I am currently switching to a new surgeon. To see if they can get me approved. Any tips or advice for allied/Aetna insurance ppo. State of Cali.

I have Allied/Aetna and its been a year and I still havnt been approved. I have obsructive sleep apnea, hypertension. 39 bmi , plus.... I am switching new docs. The appeals dept at the old surgery center could not get me approved. I have been denied 6 times. How did u get approved so easily?? Aetna doesn't want to approve me?