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Aetna Denied - Everybody's blaming each other
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So Aetna denied my surgery originally saying "not medically neccessary". My policy benefit states that I must have a BMI of 40 or 35 with two co morbidities. I have a BMI of 42. What could be more neccessary?!?! I'm not very patient so I've called the doctor's office several times over the past couple of days. Well today - the answer is this - Aetna says I didn't complete my three month multi disciplinary. I did. So I called Aetna and they say the doctor's office didn't submit the paperwork for all three months, and if they just submit that the denial should be over turned. However, the doctor's office has now said that my surgeon is going to call Aetna's medical director to get it over turned. Did anyone have this much trouble and if so is there ANYTHING I can do to help this process through? I've made appointments with my family doctor and with my ob gyn to get letters of recommendation from them. But that's going to take weeks.