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I need some help. If anyone, especially from Michigan, has Aetna US Healthcare

that has been approved, I need some advice.

My coverage starts on January 1, 2001.

I have tried to get the information I need for Dr R's insurance letter. Aetna

tells me that the Dr must call in the request for preapproval to them and not

fax or send a letter. Is that right? They won't give me an address or a fax

number.

Please let me know what I should do next.

Thanks!

Bay City, MI

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, I had Aetna US Healthcare PPO and was approved. I pertended to be

the Dr's office and called with the necessary information. I have it in Florida

and delt with the Fla office. Phyllis in Fla

Schlitt wrote:

> I need some help. If anyone, especially from Michigan, has Aetna US

Healthcare that has been approved, I need some advice.

>

> My coverage starts on January 1, 2001.

>

> I have tried to get the information I need for Dr R's insurance letter. Aetna

tells me that the Dr must call in the request for preapproval to them and not

fax or send a letter. Is that right? They won't give me an address or a fax

number.

>

> Please let me know what I should do next.

>

> Thanks!

>

>

> Bay City, MI

>

>

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,

I have Aetna Us Healthcare. They did not want to give me the fax number

either. But with I insisted and got mine. Although, it will matter where

your office will be located. Once you get your insurance card, it will have

the address for you to go through. What I did was call the number on the

card. Then I asked for the number of the department that does

predeterminations. I called that department and they gave me their fax

number. Be sure to get a name to send it referencing their name. Use the

ATTN: line. I did this then I called back the next day to make sure that

person received my fax. Then in almost three weeks, I got my letter.

What I faxed them was the letter from Dr. R. asking for pre-certification

and the letter from him stating I was acting as his agent with his

permission. I didn't have a problem getting it.

You can log onto Aetna's website to see what your coverages will be. Do you

know what type of coverage you will be getting. I have the High Option Open

Choice. So they pay 80% of most everything, with some exceptions. But if

you get the Perfered Physicians Option, PPO. Ask to have Dr. R be the one

to perform your surgery, once they approve him, you pay only the flat fee,

ours is $15.00.

I wish you luck. Be glad that you will be getting Aetna. We have not had

any problems at all. If they didn't pay something, I called to question it

and usually, they will pay.

Teri

Anchorge

Dancing on 10 Jan 2001

----Original Message Follows----

Reply-To: MiniGastricBypass (AT) egroups (DOT) com

To: <MiniGastricBypass (AT) egroups (DOT) com>

Subject: Aetna insurance

Date: Sat, 23 Dec 2000 17:10:38 -0500

I need some help. If anyone, especially from Michigan, has Aetna US

Healthcare that has been approved, I need some advice.

My coverage starts on January 1, 2001.

I have tried to get the information I need for Dr R's insurance letter.

Aetna tells me that the Dr must call in the request for preapproval to them

and not fax or send a letter. Is that right? They won't give me an address

or a fax number.

Please let me know what I should do next.

Thanks!

Bay City, MI

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