Just recived out second denial letter but...

[Guest guest]

Well I just came home and recived a second letter, before I bash

Aetna I would like to give then a compliment, they seem to be growing

a wee bit smarter and educated in the process...just a wee bit. Our

first rejection last week they said because there were ponseti method

doctors in our network at Children's Hospital of Philadelphia and St.

s. I appealed based on they don't practice the method to

a " T " nor are they on the " list " of " qualified " doctors. So this

time they still denied us to see Dr. Ponseti, but they are getting

smarter now and getting my point. This time they said we can see Dr.

Herzenberg (duhhh! We already see & love him, the whole idea of

going to Dr. Ponseti was a second opinion...they must have to clean

there ears out, I think they just don't listen when I talk). Or they

said we can go to (this is the part where I see them getting

smarter)...St. Louis Children's Hospital in Missouri to see Dr.

Dobbs. Ok I'm glad we can see Dr. Dobbs if we want to I would keep

that in mind, but serously they are both so far away and probably

cost the same amount so why not just give us a one time permission to

see Dr. Ponseti he does Accept Aetna I asked, it's just a different

network.

I don't think I have grounds now though for a level 2 appeal since

they did list someone other then Dr. Herzenberg. So it looks like we

will be paying out of pocket now for our Dr. P visit. Unless any of

you know what I could say for a level 2 appeal. I'm not even sure

whats closer to us now Iowa or Missouri, I'll have to go look at a

map!

Michele

Collin's story at http://www.geocities.com/chele323232

[Guest guest]

Well I just came home and recived a second letter, before I bash

Aetna I would like to give then a compliment, they seem to be growing

a wee bit smarter and educated in the process...just a wee bit. Our

first rejection last week they said because there were ponseti method

doctors in our network at Children's Hospital of Philadelphia and St.

s. I appealed based on they don't practice the method to

a " T " nor are they on the " list " of " qualified " doctors. So this

time they still denied us to see Dr. Ponseti, but they are getting

smarter now and getting my point. This time they said we can see Dr.

Herzenberg (duhhh! We already see & love him, the whole idea of

going to Dr. Ponseti was a second opinion...they must have to clean

there ears out, I think they just don't listen when I talk). Or they

said we can go to (this is the part where I see them getting

smarter)...St. Louis Children's Hospital in Missouri to see Dr.

Dobbs. Ok I'm glad we can see Dr. Dobbs if we want to I would keep

that in mind, but serously they are both so far away and probably

cost the same amount so why not just give us a one time permission to

see Dr. Ponseti he does Accept Aetna I asked, it's just a different

network.

I don't think I have grounds now though for a level 2 appeal since

they did list someone other then Dr. Herzenberg. So it looks like we

will be paying out of pocket now for our Dr. P visit. Unless any of

you know what I could say for a level 2 appeal. I'm not even sure

whats closer to us now Iowa or Missouri, I'll have to go look at a

map!

Michele

Collin's story at http://www.geocities.com/chele323232