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Aetna Insurance

mzyunique1

By mzyunique1, in Insurance & Financing

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Beckysue    3

Beckysue
Posted

The letter from Aetna says I was denied because I don't have 2 yr history of 35 BMI and one of the listed medical issues. I just don't Understand we sent them records from 2010 of weight of 220 2011 and 2012 and between then and now the lowest I've been is 202. Currently 214 and 5'3". So BMI has not been under 35. Also sent them two years of bloodwork records showing pre diabetic glucose levels, high cholesterol. Now we need a peer to peer review and surgeon wants PCP to do it and PCP wants surgeon to do it. The nurse at the surgeons office doesnt understand why i was denied. She said the surgeon almost never does peer to peer review. PCP doesnt want to do it because he has never had a patient with lapband and has never donethis before. I just don't know it's driving me crazy!

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