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Peer To Peer Review
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Hi Everyone
I found out today I was denied by Aetna for not having a BMI over 40 for the last two years. Well, the reason for my BMI not being over 40 is because I have been going to weight loss doctors and be issued phentermine. My BMI has never been below 37 (well at least in the last 8 years it hasnt) Needless to say, Aetna stated my surgeon can complete a peer-to-peer review with their medical director. Has anyone else (preferrably w/Aetna insurance) had this happen? IF so what was the end result?
Thanks
Jbright