Precertification with Aetna HMO

[Guest guest]

For any of you who are where I am in the precertification process

with Aetna HMO, I have found out the difference between the 3 month

weight loss attempt and the 6 month. In their requirements you have

to have, along with other factors, a 6 month " Physician-supervised

nutrition and exercise program " or a 3 month " Multidisciplinary

surgical preparatory regimen " . I could not tell what the difference

in the two since on one your doctor is working with a nutritionist

and the other you are working with a nutritionist and the 2 sounded

a whole lot alike.

Well... the difference is not much. You have to do 6 months if you

are going to your doctor to have it documented and insurance will

pay for it. If you decide to go to a nutritionist for the same

information you only go for 3 months, but you have to pay for it.

So I guess it is a matter of what you can pay for and how quickly

you want it done.

Dora

[Guest guest]

Dora,

My husband only saw a dietician once and did the 3month. We saw his PCP

once a month for 3 months. As you know he was approved in a little over

24 hours with Aetna HMO. Aetna Paid for everything but our 10 dollar

copay for the PCP. The dietician was paid for because of his high blood

pressure. We paid for nothing but the copay.

Andra

DH Lap RNY April 8th

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