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First Appeal-DENIED.

So after getting denied by Aetna for a "net gain" during my husband heart attack and triple heart bypass, I appealed....and was denied again.

I don't even know where to pick up and start now.

I sent in all of his discharge paperwork so they knew I wasn't just making excuses. And I'm not. I know I messed up. I know I gained. I know how to now fix this. But I'm lost on moving on to my second appeal.

I'm depressed, severely.

I'm miserable.

My husband is ready to kill me I think. I'm crying all the time and I just wanted this for myself so bad.

I know I have to get over my "pity party" and start fighting but honestly I feel lost, alone and just really down. Almost like I don't have fight left in me.

Help.

  • Replies 37
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  • Author

Awesome!!

Hoping the same for you!

Keep me posted!

Kelley has been fantastic and Walter is handling my case. He wrote a killer appeal letter. Hoping this does the trick! Fingers crossed!

  • 2 weeks later...

Any news?

  • Author

Hiiiii, Aetna have 15-30 days to look over the appeal.

So I'm stillllll waitinggggg!

This has to be the longest wait.

Other problem is this, one coworker went on maternity, then another coworker had a seizure and diagnosed with a brain tumor and had that taken out.

So I can't even have it done until probably January.

Soooo yeah. That's all the news I got so far!

Will keep You's posted!

Best of luck KStuz.

  • Author

APPROVED!!!

Got the email today and they already faxed my Aetna approval to my surgeons office!

2nd level appeal is approved!!!

(????screaming for excitement!!)

Best freakin news all week!! So happy for you!!!

Woohoo so glad they finally approved you

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