Aetna insurance

[Guest guest]

Mike: I had Aetna Health Care PPo and they paid Dr. R At 90% and the

anesthesia and Hospital At 80%. It didn't make sence to me but said they

were out of network. This was nearly 22 months ago but they paid Dr.

Rutledge promptly but the hospital did not file forever and when they finally

did Aetna did not pay well. Since it was at that timeframe I felt they were

trying to prove a point. Wishing you luck. Phyllis

[Guest guest]

Any one have troubles with Aetna paying for speech therapy? I am trying for

6months for them to cover it trying a new medical code this time to see if that

will work. I have talked to the therapist and doctor to use code 781.3, but they

said that it is not verbal apraxia code. I am trying to tell them I know that

but, I need a code that will get the insurance to cover something. RRRRR... so

frustrating, I feel like they dont understand and I will never get this done.

Winter

[Guest guest]

I have Aetna...but I can't recall the codes. I think it's 784.69 & there is

another one that starts with a 3...(sorry). It took a letter of medical

necessity from his nuerodevelopmental pediatrician to get them to approve AND

constant calling & following up and yelling and threatening to sue them for them

to finally say " yes " ...for 60 visits annually.

From:

[mailto: ] On Behalf Of wbuckalew1

Sent: Tuesday, September 15, 2009 1:25 PM

Subject: [ ] Aetna insurance

Any one have troubles with Aetna paying for speech therapy? I am trying for

6months for them to cover it trying a new medical code this time to see if that

will work. I have talked to the therapist and doctor to use code 781.3, but they

said that it is not verbal apraxia code. I am trying to tell them I know that

but, I need a code that will get the insurance to cover something. RRRRR... so

frustrating, I feel like they dont understand and I will never get this done.

Winter

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[Guest guest]

they told me that it really depends on what kind of plan your employer has

chosen but the private therapist should know what codes to use, at least mine

did.  I only have to pay the co-pay of $30 and I think they only cover so many

number of visits per year.

From: wbuckalew1 <wbuckalew1@...>

Subject: [ ] Aetna insurance

Date: Tuesday, September 15, 2009, 12:24 PM

 

Any one have troubles with Aetna paying for speech therapy? I am trying for

6months for them to cover it trying a new medical code this time to see if that

will work. I have talked to the therapist and doctor to use code 781.3, but they

said that it is not verbal apraxia code. I am trying to tell them I know that

but, I need a code that will get the insurance to cover something. RRRRR... so

frustrating, I feel like they dont understand and I will never get this done.

Winter

[Guest guest]

I have Medicaid to pay for my sons therapy. Because he has a disability, we

were approved.

[ ] Re: Aetna insurance

Look to your Certificate of Coverage to see what the insurance should be

covering.

>

> Any one have troubles with Aetna paying for speech therapy? I am trying for

6months for them to cover it trying a new medical code this time to see if that

will work. I have talked to the therapist and doctor to use code 781.3, but they

said that it is not verbal apraxia code. I am trying to tell them I know that

but, I need a code that will get the insurance to cover something. RRRRR... so

frustrating, I feel like they dont understand and I will never get this done.

> Winter

>

[Guest guest]

Does this disability medicaid pay for private speak therapy or other therapies?

Or do you just hv to go to preapproved places on their list or something?

Thanks

-- Sent from my Palm Pre

Wendi Chapman wrote:

 

I have Medicaid to pay for my sons therapy. Because he has a disability, we

were approved.

[ ] Re: Aetna insurance

Look to your Certificate of Coverage to see what the insurance should be

covering.

>

> Any one have troubles with Aetna paying for speech therapy? I am trying for

6months for them to cover it trying a new medical code this time to see if that

will work. I have talked to the therapist and doctor to use code 781.3, but they

said that it is not verbal apraxia code. I am trying to tell them I know that

but, I need a code that will get the insurance to cover something. RRRRR... so

frustrating, I feel like they dont understand and I will never get this done.

> Winter

>