Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Aetna is not my friend



Recommended Posts

I just have to vent somewhere. I wish I wasn't at work so I could scream to the top of my lungs. I am so mad right now. I submitted my information to Aetna on May 11th. They promptly denied me stating that I didn't meet the weight criteria for two years. I submitted an appeal on 05/27/11 and showed that I met the criteria. So I just happened to call Aetna today just to check on the appeal. I wasn't expecting anything because they said it would take 30 days. To my surprise they had already denied my appeal, & get this, the appeal was not denied for what it was denied for the first time. This time they claim that I didn't get psych clearance. THAT's A LIE, I told the rep (It just slipped out of my mouth). So she claim I have to do a second level appeal. I said for what the info has already been submitted and I was cleared. I said let me speak with someone in appeals so I can let them know that they have the info. They don't accept phone calls. WTF. I am pissed. I feel like they are giving me the run around So I called my surgeons office and called the therapist to make sure I was cleared and that the info was submitted the first time which it was. I just want to take my fist and pound the top of the appealers head. Aetna couldnt even tell me how long a second level appeal takes. I am so MAD. So now I am going to fax my clearance to Aetna my self. I don't trust them. they are evil. Can't you tell I am mad...Any way thanks for letting me vent.......

Share this post


Link to post
Share on other sites

Anytime. YOu can vent and cheer here as often as you wish. Scream too!

Share this post


Link to post
Share on other sites

Oh wow, Aetna is really doing a number here. I hope you get it appealed this time. Just stay strong.

Share this post


Link to post
Share on other sites

I just have to vent somewhere. I wish I wasn't at work so I could scream to the top of my lungs. I am so mad right now. I submitted my information to Aetna on May 11th. They promptly denied me stating that I didn't meet the weight criteria for two years. I submitted an appeal on 05/27/11 and showed that I met the criteria. So I just happened to call Aetna today just to check on the appeal. I wasn't expecting anything because they said it would take 30 days. To my surprise they had already denied my appeal, & get this, the appeal was not denied for what it was denied for the first time. This time they claim that I didn't get psych clearance. THAT's A LIE, I told the rep (It just slipped out of my mouth). So she claim I have to do a second level appeal. I said for what the info has already been submitted and I was cleared. I said let me speak with someone in appeals so I can let them know that they have the info. They don't accept phone calls. WTF. I am pissed. I feel like they are giving me the run around So I called my surgeons office and called the therapist to make sure I was cleared and that the info was submitted the first time which it was. I just want to take my fist and pound the top of the appealers head. Aetna couldnt even tell me how long a second level appeal takes. I am so MAD. So now I am going to fax my clearance to Aetna my self. I don't trust them. they are evil. Can't you tell I am mad...Any way thanks for letting me vent.......

I'm not promising I can change anything about what Aetna has done already, but I have Aetna and I might be able to offer some insight on this situation. Send me a PM if you want my help. I don't trust insurance companies either, but call it luck or whatever, I have been able to navigate some of the "inner departments" when I had some issues that I needed help with and I got some great results. Like I said, I can't change what they have already done- but I might be able to help get you to the right people to help you.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×