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Aetna Question?


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Did anyone had trouble getting approved from Atena? I am doing the three month program,but I am having doubts that I will get denied.My PCP is not really on board with this wls,and I am noticing that she is not putting any notes in regards of weight loss the last two visits.My nut is fabulous,but my PCP is what i am worried about.I really don't want to be fat for another year lol.If anybody went through this please give me some insight.

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I did the 6 month and didn't have any issues being approved. I also did not have a full weight history...1 dr. appt in 2008 and gym record for 4 months in 2009. I was approved right away.

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I did the 6 months also with a one on one with a nutritionist. I also had to provide records from 2008 showing my weight. My husband was doing the 3 month multi but we found that you had to have 3 months with an exercise therapist also so he is just going to finish the 6 months instead. Make sure you check the actual qualifications that goes with your insurance.

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If your PCP is not diligent in note-keeping, then chances are you will be denied. There are some Doc's who document well and the person is still denied. What are the requirements for your 3mo deal?

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I was just advised today that I was approved by Aetna. Had to do six months with nutritionalist, and did have two year weight history. VSG date jan 10th. Next Ill have to fight about coinsurance because I am now heading into new year. I was stalled because they said I did not have out of network coverage, and had to appeal with my employer and my labor contract. Having read the success stories I cant wait.

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