NYNMD

They should be investigated.

They sent me a letter saying I had 45 days to send them documentation and turned around and told my Doctor verbally that the request is denied. Then why the figgin' letter saying I have 45 days.

What the heck!!! BMI 47/high blood pressure/sleep apnea/GERD - WTF

Reason: not enough documentation from my dietician. Well, my dietician sent additional documentation and we'll see what happens. But another delay tactic by Aetna. Fretna - should be the name. Those thieving bast*&%'s.

__________________
*****************
Surgery date: August 1, '05
Kimmy
5'2 Wife and Mom
258/220/just healthy - not sure what the number should be

lealphachienne

I had my first request denied because of lack of documentation. So, I faxed 45 pages of notes I had acquired from the past 6 years back to the insurance company and had the referral re-submitted. I was approved for consult within a week or two. Once approved for consult, there was no denying the actual surgery.

__________________
Marie
5'3"
TT Gym Rat #25
A single bracelet does not jingle
www.nochilddiesalone.org
www.myspace.com/NoChildDiesAlone
I'm on Facebook

Jeanie

I have one word for ya. APPEAL!!

__________________

Lap Dr. Callery
July 7, 2004
Savanna Annmarie was born on 10/14/2008

bridgetgirl

Fax Fax Fax and then write your own personal letter saying how and why you are a candidate for surgery. Quote every thing humanly possible! Keep up the good fight....

__________________
J.Bridget Fisher aka koi-pea
2/9/04 lap 5'11"
298/172

Find me on face book using this email; bridgetgirl@msn.com

"People will argue with you that getting what you want in life isn’t something you can learn, if you’re destined to be one of the worlds winners as opposed to one of its perpetual whiners, its because you have been born with the right talents and temperament and have a big dose of self-esteem, ambition, and good judgment." Kate White

Bypassingme619

Kimmy don't give up. Fight them until you get that answer you are looking for. Kimmy I know this situation is fustrating to just sit and wait for the right letter to be sent in the mail but it will happen. Fight fight kimmy. Be your own Advocate. My prayers are with you.

__________________
Your Girl,
Denise

Dr. Mueller
7/14/05 Lap
411 /310/180 (I don't want to be skinny)


My Story

My Space

Never put a question mark where the Lord has already put a period.

bridgetgirl

Here is a website that had a sample appeal letter that I found for a girlfriend of mine. I had it saved on my favorites. Here it is, I hope it helps!

http://www.geocities.com/wls_denise/1stletter.html

__________________
J.Bridget Fisher aka koi-pea
2/9/04 lap 5'11"
298/172

Find me on face book using this email; bridgetgirl@msn.com

"People will argue with you that getting what you want in life isn’t something you can learn, if you’re destined to be one of the worlds winners as opposed to one of its perpetual whiners, its because you have been born with the right talents and temperament and have a big dose of self-esteem, ambition, and good judgment." Kate White

NYNMD

Thanks girls for the support.

Aetna should not get away with putting people through pure hell. I mean damn, do they actually think we want to be in this situation. It's hard enough living before surgery, but to be challenged on something we so obviously need, is ridiculous. I understand the need to make sure this is the right thing for people, but to know that some of us are grossly overweight and need help immediately. They don't seem to care. It's such a racket! Money hungry CEO's with their multi-million dollars homes and can obviously get anything they want. What the hell do they care.

Sorry ladies, I'm venting for all of us that suffer under the hands of insurance companies.

I don't have to know you guys to love you guys. We have something in common.

Talk to U soon and take care of u.

__________________
*****************
Surgery date: August 1, '05
Kimmy
5'2 Wife and Mom
258/220/just healthy - not sure what the number should be

Peckkale

They are just trying to piss you off enough to make you give up and go away. Maybe this will help.

http://www.obesitylawsuit.com/

__________________
06-17-05 Lap-ROUX-EN-Y
BMI 41.1 / 21.9 /24
224/219/120 /131 -104 lbs ...... 11 lb Below Goal.... Made Goal on April 21. 10 Months and 4 Days post-op!
consultation/pre-op/current/goal



COFFEE, CHOCOLATE, MEN...SOME THINGS ARE JUST BETTER RICH!



Expect trouble as an inevitable part of life, and when it comes, hold your head high. Look it squarely in the eye, and say, "I will be bigger than you. You cannot defeat me."

LizardQueen

don't give up yet! take a deep breath and resume the fight!

Amber

misty gunn

Hi,It's your Aetna buddy.I'm still waiting for my answer from Aetna.
I'm so sorry, I cannot believe they are doing this.I talked to my Doctor, he said they are denying almost everyone.APPEAL,Talk to you soon, Misty