Re: Another insurance question--Aetna

[Guest guest]

Sorry, but I don't know what some of those things are.

Best general suggestion I can offer is to talk with your surgeon, see

if he has an insurance person in his office, and ask for help.

Usually there's somebody there who knows his/her way through the

insurance thicket.

Good wishes to you. And try not to let yourself get panicked. After

all, and I do understand your having a preference about the " whens, "

this stuff will or won't happen when it can, and you'll deal with the

outcome. Honestly. Most people are very sympathetic and helpful, once

they understand a bit about what's going on.

Cammie

> Hi all,

>

> My OS submitted paperwork to Aetna a few weeks ago stating that I

> need a meniscectomy, arthroplasty, and split to repair my right TMJ

> disk displacement. Aetna denied the claim " for incomplete non-

> surgical management " reasons. I need to appeal this! Has anyone

on

> this list run into the same problem? I'm from Massachusetts, and

> have already combed through the Statutes trying to find info on

> health insurance coverage for jaw surgery, but to no avail.

>

> Also, I'm supposed to wait 3 months after the above joint

procedures

> before undergoing upper and lower surgery. I'm pretty panicked as

I

> basically have from June-August when I don't have to deal with the

> public at work, so I'd like to get the upper-lower surgery in June.

>

> Thanks!

> Molly