Aetna Insurance question

[elgrad 0]

I am currently in the 3 month multidisciplinary option with Aetna Insurance. I have done the nutritionist thing, the exercise thing but am wondering what fulfills the behavior modification part of the plan. Has anyone else gone this route and if so, what did you do to fulfill that requirement?

Thanks in advance for any info you can supply.

Elgrad

[lipstix64 1]

I am currently in the 3 month multidisciplinary option with Aetna Insurance. I have done the nutritionist thing, the exercise thing but am wondering what fulfills the behavior modification part of the plan. Has anyone else gone this route and if so, what did you do to fulfill that requirement?

Thanks in advance for any info you can supply.

Elgrad

Hi, Elgrad. I have Aetna and had my surgery in October. They require 6 months thru them or 3 months thru my doctor. I chose my doctor and had to got to 3 support groups, 3 nutritionist meetings with my doctors, had to get ok from heart doc, lung doc, and therapist. I also had to lose 5% of my body weight and couldnt gain more than 2 pounds, otherwise I would be denied. Once that was done, it was clear sailing. They shouldnt deny you and if they do at first, my insurance girl at the docs would fight it until they give in. Good luck

[Jodi73 11]

HI, I am also in the first month of the "3 month" option for Aetna. My doc told me just to have my PCP document what I was doing for exercise, how I was doing on my diet, my weight at each visit, etc... He said that would be enough to show behavior modification. We will see I suppose, they seem to know what they are talking about, and have saw lots of Aetna patients, so I tend to believe them. Let me know if you hear differently!

As for the exercise do you take it to mean we have to go to a trainer? I know the nutritionist is necessary, but I wsan't clear on the exercise ... Good luck! MAybe we will be scheduled for about the same time! Jodi