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1 pound 2 ounces cost me $9,000 Seriously, Update!



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Thanks to the many responses back in January when I first posted this topic. The short version: On day of surgery I was 1 pound 2 oz. below 35 bmi and Hospital Bariatric Director, refused to honor the approved procedures from

Aetna. I was in the pre-op room in my surgical gown, being made to pony up $9,000 to still have the surgery that

day. So I Did,and had the surgery When I had first complained to Aetna,in January, the person from Aetna said rules are rules and sorry but you no longer met the requirements for Insurance payout. After beating my head on the wall and shedding a few tears in frustration, I

called and talked to Aetna Supervisor the next day that told me to submit it.Surgery was December 16th, 2015 and on March 21st Aetna, three months later,said the $9,000 has been paid out to the hospital / Doctor. The hospital has told me that a credit to my card

account is pending, yah! But the Dr. office, NO SURPRISE, is saying "We don't know anything, yet" .I know without a doubt, that they are going to be a p.i.a. to get my money back. I will update this topic as it unfolds. I talked

to the nicest lady, EVER, at Aetna that called the hospital for me, to first verify the payout this Tuesday, and

yes, she called the Dr. office,also, but the billing girl was out of the office . [What a Surprise].The Dr. office,

when I called today, said they would call me right back, [they didn't], so next week will try to get the Aetna

'Nice Lady' back on the phone to call the Dr. office for me.

Moral of this Topic, Don't give up on what you know is right, get the right people involved and by all means, post your problems and your rewards here to share and to gain input from others that may have gone thru what you have.

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You poor fella. I am glad you are getting it worked out. I would have been tempted to walk outside and eat a donut and say how much do i weigh now?

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