insurance approving/denying surgery
I'm going to be having a rib resection/scalenectomy soon, but haven't heard back yet about whether my insurance is approving it. I have Aetna and they can be pretty conservative about treatment. Have any of you had problems getting the surgery approved? If so, what did you do? Also, have any of you with Aetna been able to get the surgery with no problems? Thanks.
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If I had any surgery that was considered elective I kept on them and documented the calls. Be a thorn in their side to how bad your life is and followup. Don't let them think you will go away. I had to appeal several treatments for my family, or test over the years. In the end they were provided. Good luck. |
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I had enough money to fly myself out to Denver to Dr. Annest who recommended surgery at his hospital. We took that in to the court in emergency and not only did I get repaid, she also set the surgery with the doc so we could avoid her games.
Now this was work comp - I don't know if you're talking a civil case against a party - usually they will give all medical right away to avoid higher medical. Just don't quit. It has been 8 years for me, but I am not going to let them get me, (because I was a lawyer and judge) and they think it's a game. I may die but I won't go easy! |
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