Why is health insurance so much like organized crime? I have morbidity factors, and because I lost weight after an obdominal diverticular surgery, for one month ( below required BMI for a whole 3 weeks maybe ) the are trying to tell me no. I will not quit! My husband said that a lot of times people would drop their carriers and move to another Insurance carrier when such a thing happened, but he said NO! we'll make them pay for the mistake they made IF I do not get approved for this surgery. He said we'd stay with them forever and they can pay for everything that happens to me due to the fact that they refuse to see the behefits of this procedure for me.

You can fight it and win, easily - continue your appointments, use ankle weights if need be. This is why my dr told me to be sure not to lose more than 10lbs during the approval process. Call and talk to a rapid resolution specialist - they're there to help you fight your appeal and push it through.

Who are the rapid Resolution Specialists with Aetna? My weight loss was due to an abdominal surgery - they took out 11 inches of large intestine. Any info is great! Thanks YMJ!!