Re: Aetna Coverage / Approval

[Guest guest]

,

Check out this web site:

http://www.obesityhelp.com/morbidobesity/insurersL.phtml?F=CA1.txt

It identifies, by insurance company, patients who have had WLS and

sometimes it lists the patient's email address so you can contact

them. However, not all of them have had the DS, but some of them

have.

You might also get on the egroup DS_PacificLaparoscopy and find out

if any of Dr. Rabkin's patients have Aetna.

Good luck! I'll let you know if I run into anyone.

Dory

> Hello,

>

> I am in the process of trying to get approval for the D.S. Surgery

> with Dr. Kesheshian in Delano, CA.

>

> Does any one have Aetna US Healthcare Traditional Coverage(no HMO,

> PPO, etc)? Were you able to obtain approval for the DS with them?

> Was it this year? What State? I understand that they may have

> already approved this procedure for several people this year.

>

> The reason I ask, is that I have been denied coverage for the

> DS procedure, and now my appeal has been denied. I can appeal one

> more time and so I am going to hire Obesity Law Associates to do

the

> appeal. They need as much " ammo " as they can get there hands on.

>

> If you have had this surgery approved this year(Especially if with

> Dr. Kesheshian) would you mind contacting me and allowing the

lawyers

> to use your name & info to show inconsistant denial policies since

> they say they DO NOT COVER the DS Surgery under any circumstances.

>

> Any one that can help would be greatly appreciated, and hopefully

it

> will be another step in making insurance companies realize this

> surgery MUST be approved for ALL how need it!

>

> Thanks

>

> " akplyr @alaska.net "

> Pre-Op since April '01