Guest guest Posted November 3, 2000 Report Share Posted November 3, 2000 : I have Aetna US Healthcare and I was approved (100%). There are a lot of people on this list who have Aetna and have been approved. Good luck to you. Christy California Pre-Op MGB 11-8-00 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2000 Report Share Posted November 3, 2000 Thanks for the feed-back. I've just got this doubt that the HMO section of Aetna is going to give me a hard time. I'm really excited to move forward with this surgery. I have several close friends that have had the procedure. They look and feel wonderful. Thanks again for the info. . >From: PLegal4U@... >Reply-To: MiniGastricBypass (AT) egroups (DOT) com >To: MiniGastricBypass (AT) egroups (DOT) com >Subject: Re: Checking it Out >Date: Fri, 3 Nov 2000 19:43:14 EST > >: > >I have Aetna US Healthcare and I was approved (100%). There are a lot of >people on this list who have Aetna and have been approved. > >Good luck to you. > >Christy >California Pre-Op >MGB 11-8-00 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2000 Report Share Posted November 3, 2000 Did most of you send a personal letter to your insurance company along with Dr.R's letter? I spoke to my insurance (United Healthcare) today and they said they " require " a phone call from the surgeon's office to set up the file and assign it to a specific nurse. After that they will accept a letter (fax) from the doctor. Has anyone else had to deal with this? I thought Dr.Rutledge's office sends us the letter and then we have to deal with the insurance co. ourselves. This could be a glitch for me if they won't call first with the referral. Any thoughts or experience from anyone? Joni in Seattle Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2000 Report Share Posted November 3, 2000 Hi , Many of us have Aetna.. Also, go to Aetna.com you will find under the search ---(weight loss surgery) that they do infact pay for it and list what they will not pay for... I made a copy and sent it in my packet to them.. but you will have no problems unless it is an exclusion through your employer.. Good luck, in GA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2000 Report Share Posted November 3, 2000 Welcome ! Can't answer your insurance question but just wanted you to feel welcomed into the fold! Good Luck! Beth in Florida Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2000 Report Share Posted November 4, 2000 : I had Aetna PPO and no problems other than them saying they never got the first letter. Phyllis Clements wrote: > Joined the mailing list last night. I've spent alot of time reading all of > the information on the website. Before I go through this process...has > anyone been approved through Aetna HMO? You're a great support group. I > wish all of you well. > _________________________________________________________________________ > Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com. > > Share information about yourself, create your own public profile at > http://profiles.msn.com. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2000 Report Share Posted November 4, 2000 Joni: I have Aetna US Healthcare and I called and gave all of the info to the pre-cert department right before I sent them the letter. They took all of the information, codes, etc. from me. You can always call and say you are from Dr. R's office......he does give us permission to do that. Christy California Pre-Op MGB 11-8-00 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2000 Report Share Posted November 4, 2000 In a message dated 11/4/00 2:12:59 PM Pacific Standard Time, PLegal4U@... writes: > > Joni: > > I have Aetna US Healthcare and I called and gave all of the info to the > pre-cert department right before I sent them the letter. They took all of > the information, codes, etc. from me. You can always call and say you are > from Dr. R's office......he does give us permission to do that. > > Christy Thanks for the info...so far you are the only response I have had. You are sure that they don't know that you are not calling from the doctors office? That would make me a little nervous that they would find out then deny me. I am willing to try though. Sounds like you are on your way to N.C. I will be anxious to hear. Do you have a lap top. No one answered me on that question. Alot of post ops seem to be able to post. Just wondering. I will be thinking of you on Wednesday. Joni in Seattle Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2000 Report Share Posted November 4, 2000 Woops...meant to send that last message direct to Christy in California...sorry Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2000 Report Share Posted November 4, 2000 Yes, I have. Just recently I was approved for the surgery under my POS. The HMO would only approve surgries in town. Out of town I had to change to POS. I did so just to have this surgery done. Let me know if this helped. Sharon Checking it Out > Joined the mailing list last night. I've spent alot of time reading all of > the information on the website. Before I go through this process...has > anyone been approved through Aetna HMO? You're a great support group. I > wish all of you well. > _________________________________________________________________________ > Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com. > > Share information about yourself, create your own public profile at > http://profiles.msn.com. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2000 Report Share Posted November 5, 2000 I have United Healthcare Select Plus POS, and they paid 100%. Just a hint - they don't know who works in Dr. R's office, or what they sound like. You didn't hear that from me! ;-) Amy. _____________________________________________ Amy S. Poe MGB 5/22/2000 280 * 205 * 140 READ MY STORY ONLINE: http://onhealth.webmd.com/women/in-depth/item/item%2C91744_1_1.asp Re: Checking it Out Did most of you send a personal letter to your insurance company along with Dr.R's letter? I spoke to my insurance (United Healthcare) today and they said they " require " a phone call from the surgeon's office to set up the file and assign it to a specific nurse. After that they will accept a letter (fax) from the doctor. Has anyone else had to deal with this? I thought Dr.Rutledge's office sends us the letter and then we have to deal with the insurance co. ourselves. This could be a glitch for me if they won't call first with the referral. Any thoughts or experience from anyone? Joni in Seattle Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2000 Report Share Posted November 6, 2000 Hello Amy, I have just sent my application to Dr. R.. I have United Healtcare POS also, What questions did they ask when you called them? Do you have any helpful hints ? It sure gives me some hope to know that they covered you 100%. Angel Winston, NC Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 8, 2000 Report Share Posted November 8, 2000 I'll assume you're asking me, but there are other Amy's on the list, so please forgive me if I'm presuming too much! I don't remember what they asked, it was 8 months ago. It was fine, I knew what they wanted to know. I think you will need the procedure codes (available at www.clos.net) and your personal stuff (name, SSN, etc). Good luck Angel! We're all pulling for you! Amy. _____________________________________________ Amy S. Poe MGB 5/22/2000 280 * 205 * 140 READ MY STORY ONLINE: http://onhealth.webmd.com/women/in-depth/item/item%2C91744_1_1.asp Re: Checking it Out Hello Amy, I have just sent my application to Dr. R.. I have United Healtcare POS also, What questions did they ask when you called them? Do you have any helpful hints ? It sure gives me some hope to know that they covered you 100%. Angel Winston, NC Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.