Aetna Covered NUT...PSWL too??

[MelleyMeister 2]

SO stoked!!! Our surgeon originally told us, "we typically don't file claims to insurance for Nutrition or PSWL." That didn't seem right to me, and I really, *really* don't have a lot of money to spare. So after talking to an Aetna rep who just so happened to have had the surgery and who just so happened to have been told the same thing I followed her advice. After talking to them, I faxed the surgeon's office a copy of Aetna's Clinical Policy Bulletins outlining the coverages available along with a letter requesting reimbursement for the 2 Nutrition consults we paid for and the first 2 PSWL's that Emily went through. Checked Aetna tonight, and the NUT is covered at 100%...no co-pay even! <) <doin the happy dance> Will keep you updated on the PSWL submissions....

All you have to do is print the Clinical Policy Bulletin from Aetna and fax it to the office...they can back date the claims for you. Good luck!!

xoxoxox

Melissa

[treequeen 13]

What's the link? I have one month to go and have been paying $30 a visit to the nut and a $15 copay to the doc. I could find sooo many uses for the nut $... like Protein shakes!

[MelleyMeister 2]

PSWL: http://www.aetna.com/cpb/medical/data/1_99/0039.html

NUT: http://www.aetna.com/cpb/medical/data/1_99/0049.html

Good Luck!!!!

xoxoxox

Melissa

[wishes 125]

That is awesome! Congrats on your great find and your persistence. This next three months will at least be free, right?

[MelleyMeister 2]

That is awesome! Congrats on your great find and your persistence. This next three months will at least be free, right?

*most* of it will be...surgeon requires 2 visits/mo for 3 months....Aetna pays 2 visits for the first month then 1/mo for the next two, so I'll have to pay out of pocket for 2 visits. But...better than paying oop for all 6!!

eta: *pays* d'oh...still a bit foggy. today is Day 1 since um...forever... with no added sugar whatsoever in my diet...

[MelleyMeister 2]

*most* of it will be...surgeon requires 2 visits/mo for 3 months....Aetna pays 2 visits for the first month then 1/mo for the next two, so I'll have to pay out of pocket for 2 visits. But...better than paying oop for all 6!!

eta: *pays* d'oh...still a bit foggy. today is Day 1 since um...forever... with no added sugar whatsoever in my diet...

[drey 20]

Melly, thanks for the information about Aetna. Does it matter if you participate in a PPO or ***? I am in the beginning stages of my journey and any information that I can obtain is wonderful news.

Thanks so much!

Drey