Guest guest Posted March 1, 2003 Report Share Posted March 1, 2003 Last night after I got home from grocery shopping there was a message on my machine from the patient coordinator at Dr. Schwartz's office. If you can believe this, Aetna is demanding an MRI. Not for the tummy tuck, mind you! For the hernia repair! I called Aetna before I started all this and was told hernia repair is covered without precertification needed. This is soooo infuriating! I'm sure I'm going to have to delay the surgery now because of those criminals. I wish I had the money to hire a lawyer to sue their butts. They're probably just ticked off because I was able to prove medical necessity for the tummy tuck and so now they're putting up road blocks for the hernia repair just to be spiteful. I want to kill something. Tracey Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2003 Report Share Posted March 1, 2003 Tracey, AN MRI for the hernia - too weird. What exactly do they want to see? Take a few deep breaths... this IS going to work out! You have the TT approval - the hernia is a no brainer - the MRI just has to be a hoop they want you to jump through - and the new lighter, healthier Tracey can jump through their hoop no problem!! winks!! Hang in there honey!! hugs, cindy lee > Last night after I got home from grocery shopping there was a > message on my machine from the patient coordinator at Dr. Schwartz's > office. If you can believe this, Aetna is demanding an MRI. Not > for the tummy tuck, mind you! For the hernia repair! I called > Aetna before I started all this and was told hernia repair is > covered without precertification needed. This is soooo > infuriating! I'm sure I'm going to have to delay the surgery now > because of those criminals. I wish I had the money to hire a lawyer > to sue their butts. They're probably just ticked off because I was > able to prove medical necessity for the tummy tuck and so now > they're putting up road blocks for the hernia repair just to be > spiteful. > > I want to kill something. > > Tracey Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2003 Report Share Posted March 1, 2003 Tracey, AN MRI for the hernia - too weird. What exactly do they want to see? Take a few deep breaths... this IS going to work out! You have the TT approval - the hernia is a no brainer - the MRI just has to be a hoop they want you to jump through - and the new lighter, healthier Tracey can jump through their hoop no problem!! winks!! Hang in there honey!! hugs, cindy lee > Last night after I got home from grocery shopping there was a > message on my machine from the patient coordinator at Dr. Schwartz's > office. If you can believe this, Aetna is demanding an MRI. Not > for the tummy tuck, mind you! For the hernia repair! I called > Aetna before I started all this and was told hernia repair is > covered without precertification needed. This is soooo > infuriating! I'm sure I'm going to have to delay the surgery now > because of those criminals. I wish I had the money to hire a lawyer > to sue their butts. They're probably just ticked off because I was > able to prove medical necessity for the tummy tuck and so now > they're putting up road blocks for the hernia repair just to be > spiteful. > > I want to kill something. > > Tracey Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2003 Report Share Posted March 1, 2003 Tracey, I would say kill your dinner, but you know, it's hard to kill soy.. Sorry, had to say it! *grins* That does suck about Aetna being a pain and I don't understand why they'd want an MRI, but even with these stupid delaying tactics, Aetna is still going to foot the bill and you're going to be hernia-free with a flat tummy soon! Take a deep breath and as they say 'Don't let the bast*rds get you down!' *hugs* Anita in Denver > Last night after I got home from grocery shopping there was a > message on my machine from the patient coordinator at Dr. Schwartz's > office. If you can believe this, Aetna is demanding an MRI. Not > for the tummy tuck, mind you! For the hernia repair! I called > Aetna before I started all this and was told hernia repair is > covered without precertification needed. This is soooo > infuriating! I'm sure I'm going to have to delay the surgery now > because of those criminals. I wish I had the money to hire a lawyer > to sue their butts. They're probably just ticked off because I was > able to prove medical necessity for the tummy tuck and so now > they're putting up road blocks for the hernia repair just to be > spiteful. > > I want to kill something. > > Tracey Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2003 Report Share Posted March 1, 2003 Oh Jo, naughty naughty naughty --- THe picture in my mind - incredible! Wicked!!! hugs, cindy lee I don't wish a single insurance denying person death...but I do > wish they would gain every pound you lose! > > Jo Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2003 Report Share Posted March 1, 2003 Thanks Lee! I don't know exactly what they want with the MRI since I just got a message on the machine and didn't get to talk to Carol. She's going to call me on Monday after they talk to Aetna. One thing I'm going to do is call my Administrator at and get a copy of the handbook showing what Aetna covers. As long as I can find the part that says hernia repairs are covered, I'll have the ammunition I need. Hugs! Tracey > > Last night after I got home from grocery shopping there was a > > message on my machine from the patient coordinator at Dr. > Schwartz's > > office. If you can believe this, Aetna is demanding an MRI. Not > > for the tummy tuck, mind you! For the hernia repair! I called > > Aetna before I started all this and was told hernia repair is > > covered without precertification needed. This is soooo > > infuriating! I'm sure I'm going to have to delay the surgery now > > because of those criminals. I wish I had the money to hire a > lawyer > > to sue their butts. They're probably just ticked off because I was > > able to prove medical necessity for the tummy tuck and so now > > they're putting up road blocks for the hernia repair just to be > > spiteful. > > > > I want to kill something. > > > > Tracey Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2003 Report Share Posted March 1, 2003 Thanks Lee! I don't know exactly what they want with the MRI since I just got a message on the machine and didn't get to talk to Carol. She's going to call me on Monday after they talk to Aetna. One thing I'm going to do is call my Administrator at and get a copy of the handbook showing what Aetna covers. As long as I can find the part that says hernia repairs are covered, I'll have the ammunition I need. Hugs! Tracey > > Last night after I got home from grocery shopping there was a > > message on my machine from the patient coordinator at Dr. > Schwartz's > > office. If you can believe this, Aetna is demanding an MRI. Not > > for the tummy tuck, mind you! For the hernia repair! I called > > Aetna before I started all this and was told hernia repair is > > covered without precertification needed. This is soooo > > infuriating! I'm sure I'm going to have to delay the surgery now > > because of those criminals. I wish I had the money to hire a > lawyer > > to sue their butts. They're probably just ticked off because I was > > able to prove medical necessity for the tummy tuck and so now > > they're putting up road blocks for the hernia repair just to be > > spiteful. > > > > I want to kill something. > > > > Tracey Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2003 Report Share Posted March 1, 2003 Thanks Lee! I don't know exactly what they want with the MRI since I just got a message on the machine and didn't get to talk to Carol. She's going to call me on Monday after they talk to Aetna. One thing I'm going to do is call my Administrator at and get a copy of the handbook showing what Aetna covers. As long as I can find the part that says hernia repairs are covered, I'll have the ammunition I need. Hugs! Tracey > > Last night after I got home from grocery shopping there was a > > message on my machine from the patient coordinator at Dr. > Schwartz's > > office. If you can believe this, Aetna is demanding an MRI. Not > > for the tummy tuck, mind you! For the hernia repair! I called > > Aetna before I started all this and was told hernia repair is > > covered without precertification needed. This is soooo > > infuriating! I'm sure I'm going to have to delay the surgery now > > because of those criminals. I wish I had the money to hire a > lawyer > > to sue their butts. They're probably just ticked off because I was > > able to prove medical necessity for the tummy tuck and so now > > they're putting up road blocks for the hernia repair just to be > > spiteful. > > > > I want to kill something. > > > > Tracey Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2003 Report Share Posted March 1, 2003 Hi Anita! LOL! You know, it really IS hard to kill soy. hee! I know Aetna will have to pay for the hernia but it kills me that they're going to be able to cause a delay. It's just so unfair. Oh well, life ain't fair. I knew that when Aetna wouldn't pay for the WLS to begin with. Sigh... Tracey > > Last night after I got home from grocery shopping there was a > > message on my machine from the patient coordinator at Dr. Schwartz's > > office. If you can believe this, Aetna is demanding an MRI. Not > > for the tummy tuck, mind you! For the hernia repair! I called > > Aetna before I started all this and was told hernia repair is > > covered without precertification needed. This is soooo > > infuriating! I'm sure I'm going to have to delay the surgery now > > because of those criminals. I wish I had the money to hire a lawyer > > to sue their butts. They're probably just ticked off because I was > > able to prove medical necessity for the tummy tuck and so now > > they're putting up road blocks for the hernia repair just to be > > spiteful. > > > > I want to kill something. > > > > Tracey Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2003 Report Share Posted March 1, 2003 -You could be right, Lilyen, but then they're second guessing the doctor's expertise, not to mention his honesty. That's got to be pretty aggravating for the surgeon. I'll see what happens on Monday after the office talks to Aetna. Tracey -- In DS_Friends_Keshishian , " jokes " <jokes_4_car_54@d...> wrote: > Me thinks that they feel too many people have said they have hernia's to get a TT ....... so now with a MRI is proof positive....just my thoughts on it ............ Lilyen > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2003 Report Share Posted March 1, 2003 -You could be right, Lilyen, but then they're second guessing the doctor's expertise, not to mention his honesty. That's got to be pretty aggravating for the surgeon. I'll see what happens on Monday after the office talks to Aetna. Tracey -- In DS_Friends_Keshishian , " jokes " <jokes_4_car_54@d...> wrote: > Me thinks that they feel too many people have said they have hernia's to get a TT ....... so now with a MRI is proof positive....just my thoughts on it ............ Lilyen > > Quote Link to comment Share on other sites More sharing options...
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