Did anyone go through the appeal processes with Aetna?

Joymarie333 · July 28, 2015

They denied me because lack of proof of 3 mouth weight lose with a doctor!

ylluz · July 28, 2015

Did you see a nutritionist??

Joymarie333 · July 28, 2015

Yes I did all I was required to do that's why I'm shocked of the denial

ylluz · July 28, 2015

Thats weird you can appeal also did your reg doctor referred you!!!. medical necessity??

shellyd88 · July 28, 2015

If your insurance did not require you to lose weight file the appeal meanwhile if you don't already have a copy get the insurance guidelines or requirements in writing u are entitled to a printed copy of what your policy does and doesn't cover ask for it to be mailed to your home they may try a denial first hoping u will give up and go away so they don't have to pay for it I got my copy within a few days of asking I have bcbs in ny My surgeon required me to do this they may say look it up online blah blah say u don't have a computer they have to give it to you make a note in your calendar of when u asked and made the call save the envelope it comes in with the postmark make a copy your dr may want a copy mine did hope this helps