follow up on Aetna
Good afternoon everyone,
I wanted to up date the information on getting my appeal decile reversed. As you
know Friday last (10/11) I call Aetna to see what I could do to clear up the
questions they were asking from my PCP. — On Monday (10/7) I called Aetna
again and this time spoke with a nurse in appeal dept. She was kind enough to
email their Medical Director, then I wronte a letter to my PCP with copies of
the letter of denile and the information gleaned off Aetna’s site about weight
loss. (Although the information "they" said was there about Obesity: Surgery
Treatment was not there.) — My wonderful husband Harvey took the entire package
to my doctors office that very morning so he would have it when Aetna called.
Today Friday (10/11) I followed up, called my doctors’ office, they said Aetna
need copies of 6 months of going to Weight Watchers and a letter from him about
what "we" did in the way of weight loss over the 6 months (this had to be within
the last 2 years) –This is no problem, just copy all my record on dates and
weights from my Weight Watchers booklet from the office. Take it to my doctor
and then he will write another letter and sent it along the the weight info. to
Aetna. Sounds soon so far, I will check with my doctors office at the middle of
next week just to follow up.
My biggest problem now is with my surgeons’ office (personal) — I have to
somehow get in touch with Roxanne and find out why the weight watchers
information I gave them at the beginning did not get sent with the original
paper work. — She is hard to get a hold of, does not answer phone messages and
apparently does not answer her phone either. But I will get a hold of her by
hook or by crook.
Thank you all again for listening.