Help with aetna

[sfremeau 0]

I am new to this journey and needing some help from folks who have been approved with aetna. My plan says that in the 3 month multi disciplinary program I also must "participate in an exercise regimen to improve pulmonary reserve prior to surgey, supervised by exercise therapist or other qualified professional". Can anyone tell me what they are looking for? What kind of programs have folks used and gotten approved with? My doctor can provide all the components of the 3 month program except that one.

[rbtnln 81]

Call them and ask. I would say probably you need to join a gym and prove that you're working out there with a personal trainer. I have Aetna but I wasn't asked to do that so it may be a different policy. But, if you call the insurance company they will answer your questions.

[sfremeau 0]

rbtnln,

Thanks for the input! I did call Aetna, they told me that only my physcian could get that info once a request for auth was initiated, however until I make sure I can afford this whole thing and get through the 3 month multi disciplinary plan there is no auth to iniate! LOL They make it so hard for a pt to advocate for their own health care and arm themselves with the knowledge of their plan. I was hoping someone may have deblt with this senario and would have some feedback as to what they did as their program I appreciate your help non the less!!! Thank you!!!!

[HHHappy 225]

My nutritionist documented what exercise I was doing at each of my appointments with her. (I was doing Water aerobics). The insurance coordinator told me all that Aetna was looking for was "documentation" that I was exercising. I was concerned that wasn't enough but it was. I was approved in 3 days.

I have Aetna and my policy is worded the same as yours.

[sfremeau 0]

What state are you in?

[lynn2win 142]

Boy I am still waiting to hear back from Aetna 2 weeks and all they keep saying is its pending...I am like ok? boy this is frustrating