Jane's Page

The approval letter from Aetna arrived, then the cgms box from minimed arrived, and then the EOB arrived that rejected the claim. I guess the joke is on me!!! They had to make me jump through one more hoop to get coverage. It is such a scam. Anyway, I called and they resubmitted with the approval code that the rep found in my file. I guess this is how we keep people employed, insurance costs high and the economy going!?!?!?!?

They reversed their decision. They said "The submitted material is sufficient to document repetitive hypoglycemia even with multiple glucose checks on a daily basis. Coverage is allowed."

YEAH!!! :-) I am one happy mommy!!!!

The person that answered the phone said there was a note in the system that said an appeal decision letter was mailed at 12:15 pm today. She could not tell me what it said.

Aetna said they will make a decision by August 30. That falls on a Saturday. I am going to call on Friday, hopefully they will have posted a decision on their system. I am crossing my fingers.
Jane

I sent in my appeal. I followed up to make sure they received all of the paper work. The assigned a case number and told me they expect to have a decision on or before 8/30. I am crossing my fingers.