Help Please...Appeal!!

[JDUB0414 0]

My husband and I both have Aetna. I've been approved and my husband hasn't. The reason is because he doesnt have 5 year weight history. He only has 4 years. We've spoken to the insurance company and they say the surgeons office has to resend the info. The surgeons office says we have to resubmit it ourselves. Because we only have 4 years, I dont know what else we can do.

If there is anyone out there that can give us some feedback on appeals that would be great. Any advice would help.:smile:

[reif78 0]

you shouldnt have to resend nothing your self the surgeon whom your husband is using should take care of everything in the matter of appeals and so forth. have your family pcp write a letter on your husbands behalf and give it to the surgeon and have them refax all his paperwork including the letter of recommendation from your family pcp hopefully that will help i know it did for me.

[JDUB0414 0]

reif 78, How many years did you have? Do you hace a copy of the letter that your dr. sent?

[cakegal 0]

what did you use as 5 year history? Did you need to show weight for each year, or just back to 5 years, whatever you can find?

[JDUB0414 0]

My doctor wrote a letter on her letter head with the year and my weight for that year.