Anyone have aetna PPO what loops are there?

[La Gordita 0]

I would like to know about insurance questions and the the 3month supervisied diet and Dr. Villineaua?

[WhyW8 0]

I have Aetna. My advice is that even though they require nutritionist, dr, psyh eval, exercise, etc , it does NOT mean that your policy PAYS for those. Question it TWICE!!!

I have to appeal a denial for 2 psych evaluations which my plan doesnt pay for. I say, if they require it, they should PAY for it !!! At no time did any paper work or phone calls reveal it wasnt covered.

Good luck:thumbup:

[La Gordita 0]

Thank you now question is i do not want to wait a total of 5 months to get surgery so what did you have to turn in for ins to get appovered for surgery.

[WhyW8 0]

I had to see the nutritionist, surgeon, and exercise gal once a month for 3 months. I had to have 2 yrs proof of my weight--did that thru family physician. I had to do psych evaluation then follow up w/him. (which ins. is denying pmt so I'm appealing) I was on b.p. med and a recent test for sleep apnea showed possible sleep apnea so I had co-morbidities.

If you contact your insurance they can email you what's required for the surgery. Keep a copy of that & also, in hindsight, I'd call & verify that everything needed for surgery is a covered expense.