Insurance Appeal - Denied Because of Age

[Guest guest]

Has anyone had any luck appealing with the insurance denial based on age? My son

is covered through Aetna. Their cut off for coverage of the DOC band is 12

months. Unfortunately (after many months of chiropractor repositioning) we moved

a few weeks too late to get the DOC band process started. We are trying to use

the basis that since he was born premature, six weeks early, according to his

Corrected Age, we didn't miss the 12 month cut off. Aetna denied the first

appeal but we are working on the documentation and argument for the second

appeal.

Any input would be greatly appreciated!