Thread: FMS & Work
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Old 09-03-2008, 09:40 PM
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warbelsnap warbelsnap is offline
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Join Date: Jun 2008
Location: Bonaire, Georgia, USA
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warbelsnap warbelsnap is offline
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warbelsnap's Avatar
 
Join Date: Jun 2008
Location: Bonaire, Georgia, USA
Posts: 181
15 yr Member
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Big thing is I'm just waiting on Aenta to approve my claim. I called today and the customer service person told me that the claim had been approved by my company but not them. They are in the processing of reviewing and then going to make the determination if they are going to give me benefits or not. I had this happen in Feb when I had my second surgery in 18months for scar tissue removal. The surgeon @ Emory put me out for 8 weeks but Aetna would only approve it for 6 weeks even though this was the second time in 18 months having the same surgery. I just don't understand how or why the insurance companies are allowed to override what the doctors say. Don't get me wrong, I have nothing against nurses. However, they have a paid nurse on staff to review all claims that come in. Seems wrong to me. I also realize that insurance companies are in it to make money. That is also wrong when it comes at the health expense of a person and their family. I will let you know how things are progressing. Thanks for all your thoughts.
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Doody (09-13-2008)