The cost of Aetna's partial approval (crosspost)

[Guest guest]

Hi,

I just got off the phone with Ann. The cost for the 3

procedures denied will be $4387 plus my $500 co-pay for approved

portion. So I will be out about $5K.

I understand the denial of the appendectomy (arguable necessity) and

the partial gastrectomy (they don't support the DS). But I really

don't understand their rejection of " insertion of tube into

jejernum " . That will cost me $1643 extra. Has anybody ever had that

part rejected?

Hull

[Guest guest]

Okay. Perhaps I have missed something in my research. What is the tube

for?

Jerry, Southern Gal waiting on insurance

>From: chull1@...

>Reply-To: duodenalswitch

>To: duodenalswitch

>Subject: The cost of Aetna's partial approval (crosspost)

>Date: Tue, 25 Sep 2001 19:45:07 -0000

>

>Hi,

>

>I just got off the phone with Ann. The cost for the 3

>procedures denied will be $4387 plus my $500 co-pay for approved

>portion. So I will be out about $5K.

>

>I understand the denial of the appendectomy (arguable necessity) and

>the partial gastrectomy (they don't support the DS). But I really

>don't understand their rejection of " insertion of tube into

>jejernum " . That will cost me $1643 extra. Has anybody ever had that

>part rejected?

>

>

>Hull

>

>

>----------------------------------------------------------------------

>