I just have to vent somewhere. I wish I wasn't at work so I could scream to the top of my lungs. I am so mad right now. I submitted my information to Aetna on May 11th. They promptly denied me stating that I didn't meet the weight criteria for two years. I submitted an appeal on 05/27/11 and showed that I met the criteria. So I just happened to call Aetna today just to check on the appeal. I wasn't expecting anything because they said it would take 30 days. To my surprise they had already denied my appeal, & get this, the appeal was not denied for what it was denied for the first time. This time they claim that I didn't get psych clearance. THAT's A LIE, I told the rep (It just slipped out of my mouth). So she claim I have to do a second level appeal. I said for what the info has already been submitted and I was cleared. I said let me speak with someone in appeals so I can let them know that they have the info. They don't accept phone calls. WTF. I am pissed. I feel like they are giving me the run around So I called my surgeons office and called the therapist to make sure I was cleared and that the info was submitted the first time which it was. I just want to take my fist and pound the top of the appealers head. Aetna couldnt even tell me how long a second level appeal takes. I am so MAD. So now I am going to fax my clearance to Aetna my self. I don't trust them. they are evil. Can't you tell I am mad...Any way thanks for letting me vent.......

Anytime. YOu can vent and cheer here as often as you wish. Scream too!

Oh wow, Aetna is really doing a number here. I hope you get it appealed this time. Just stay strong.

Thank you for the kind words

I just have to vent somewhere. I wish I wasn't at work so I could scream to the top of my lungs. I am so mad right now. I submitted my information to Aetna on May 11th. They promptly denied me stating that I didn't meet the weight criteria for two years. I submitted an appeal on 05/27/11 and showed that I met the criteria. So I just happened to call Aetna today just to check on the appeal. I wasn't expecting anything because they said it would take 30 days. To my surprise they had already denied my appeal, & get this, the appeal was not denied for what it was denied for the first time. This time they claim that I didn't get psych clearance. THAT's A LIE, I told the rep (It just slipped out of my mouth). So she claim I have to do a second level appeal. I said for what the info has already been submitted and I was cleared. I said let me speak with someone in appeals so I can let them know that they have the info. They don't accept phone calls. WTF. I am pissed. I feel like they are giving me the run around So I called my surgeons office and called the therapist to make sure I was cleared and that the info was submitted the first time which it was. I just want to take my fist and pound the top of the appealers head. Aetna couldnt even tell me how long a second level appeal takes. I am so MAD. So now I am going to fax my clearance to Aetna my self. I don't trust them. they are evil. Can't you tell I am mad...Any way thanks for letting me vent.......

I'm not promising I can change anything about what Aetna has done already, but I have Aetna and I might be able to offer some insight on this situation. Send me a PM if you want my help. I don't trust insurance companies either, but call it luck or whatever, I have been able to navigate some of the "inner departments" when I had some issues that I needed help with and I got some great results. Like I said, I can't change what they have already done- but I might be able to help get you to the right people to help you.