This is my story. The weight loss center sent over what I thought was all my paperwork on 11/19/07 to the insurance company. I received a letter from them on 12/7/07, after calling them regularly for two weeks with regards to the status of my file...stating that they need additional paperwork. I dont know whether or not to be pissed at the nurse at the wieght loss center or at my PCP office. The nurse said she knew exactly how Aetna works and would not send my packet to them unless she had the complete file. I gave them both the print out of what I needed to get approved. Well somewhere along the way our five year weight loss history didn't get sent. I called my PCP on 12/10/07 to ask them to send that info to the weight loss center ASAP and was told they would send it the next day, talked to them 12/15/07 and they still hadn't sent it and was told they would send it on 12/17/07. Talked to them this morning, and they still haven't sent it and would get it out by 12/21/07. Now on the letter I got from the insurance company, said I had 45 days till the date that the file was opened to get them the info or they would make a decision about without the five year history. To me this means they will deny it. My PCP acts as if it's not important enough to rush the letter and it will take a week to get a copy of my medical records. I dont know what to do. I am so upset!!! What should I do?:whoo:

Yes they will deny you. I went thru that with them and that is what happened to me. But I found someone that knew what they were doing and got all the paperowrk to them and was approved in 2 days!

They denied me my first try then my denial was just reversed last week. I now have a tentative date of January 7. I hope things work out for you!!!!

Why did they deny you?

I Got Approved!!!! 1/4/08

Congrats!!!!!!

thanks!!!!!

:angryI got my surgery done 12/7/07 with UHC because I know my sompany was switching to Aetna in JAN 08 what I didn't know was that Aetna would not pay for fills . B&*%#es that's alright cause my Dr. will cover 3 of them and the money I will save on eating out will pay for it itself

that's good destiny. i'm waiting on my surgeons office to call me now, so I can find out about the fills.

that's good destiny. i'm waiting on my surgeons office to call me now, so I can find out about the fills.

Aetna doesn't pay for fills because they've negotiated them in the full price they pay for the surgery.

I'm glad to hear your approval came through! Hopefully mine will go the same way! Mine is similar to yours - something was forgotten when the submission went - Hmm - wonder if we have the same person? lol

Aetna doesn't pay for fills because they've negotiated them in the full price they pay for the surgery.

I'm glad to hear your approval came through! Hopefully mine will go the same way! Mine is similar to yours - something was forgotten when the submission went - Hmm - wonder if we have the same person? lol

right!!! As of today they doctors office still doesnt have my approval letter and wont do anything till they get it. I've had mine for a few days now and the nurse finally said I can send her a copy of mine. The insurance company doesn't know why they have received it yet, but said the nurse could call her and she will give her all the info she needed for the approval. The nurse refused to do that and said she needed it in writting. What makes this worse is that, the class that I have to go to wont be offered again until the end of next month!!!! OMG what the hell is going on!!! I'm so sick of this unecessary bull crap. I asked the nurse today why so many simple things are falling through the craks and no once seems to care. She didnt have an answer of course.