Whoever said patience is virtue...SHUTUP

[HeatherO 7]

If you did the diet and have appropriate documentation including weights for two years, then your appeal should be successful. I wouldn't be too worried if you have your ducks in a row. Tons of people have an initial denial just to find success just a short time away. Good luck.

[ksb37us 0]

Thank you!

[adagray 1]

Seems like Aetna makes a lot of 'mistakes' as far as denying a lot of claims the first time around that really do qualify. I hear it on here all the time. I also have Aetna, but am not through insurance yet for lapband. But, I've had to deal w/them on some other things (like the billing for my second c-section) and let's just say that they don't have their act together in a lot of ways. They also outsource a lot overseas (not saying that is bad, but quality can suffer, especially in the first review of things). I found that once I escalated my billing issues, they were resolved quite quickly. Its just the first go around they got at least half of my billings wrong. And, it was a nightmare because I was going to the hospital 2x per week up until the delivery date for stress tests so there were A LOT of bills for them to mess up! Anyway, hang in there. It does take some patience, but I'm sure you'll get it worked out w/Aetna.