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My ADHD is not happy about 6 mos, lol

Neoteric Verve

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Neoteric Verve    65

Neoteric Verve
Posted

Aetna has two ways to get approval. One is the six-month route while the other is three months. Obviously I would rather the three month option but Dr Teng is adamant that Aetna wants to see six months. I've gone over their policy bulletin (#0157 if you are curious). I want the Multidisciplinary one that green lights me in three.

As of right now, I have documented (prior exercise regimen of mine requires it) 2 years of BMI of 50+, 3 months (more really) of food logs, 3 months of doing plyometrics and weights with my friend (a Certified Personal Trainer) and I start seeing a NUT on the 16th (JUN, JUL & AUG).

So by the 16th of August, I will have all the aforementioned criteria for the Multidisciplinary approach to get a "Thumbs Up" from my insurance. Now if my chosen surgeon (Dr Teng) still wants me to wait and additional three months could I just go to Dr Atkinson, Dr Hanna or Dr Umbach for the procedure and get it done in three? I'd do the six months but I wouldn't make it by this year and I don't want to go into deductible and copay hell.

What do I do?

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Go To Topic Listing Insurance & Financing

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