Florida Residents? With Aetna Insurance?

Need help with insurance. Aetna is telling me the procedure for wls is excluded from coverage. help please!

I had Aetna HMO and it was excluded except for cases of medical necessity. It depends on what your "fine print" says. If it's excluded because your employer is self-insured, that's a problem. Or if your employer didn't pay for WLS coverage as a benefit, then it may also be a problem. What does your fine print say?? Fight the good fight. Jan

I do not have great news for you I also have Aetna HMO, I fought with them till I was blue in the face and ended up refinancing my house to pay for the surgery. Good Luck, I would love to hear if you can beat those suckers down and get approved! What is most frustrating is if I had applied just a little bit before I started this whole mess (about two years ago) they probably would have approved me in a day. "Times, they are a changin'"

Hi Maura, I have Aetna POS and they are strict on their guidlines for approval... that said, my husbands employer purchased the rider that covers WLS with Aetna otherwise they wouldn't have. Make sure that it is a covered benefit w/ the employer. Best of luck! Sallykate

I have Aetna POS and had absolutely no problems with them at all. I got approved within 2 hours of submitting my paperwork, and they paid 100%. But I can give a little advice, make sure you have a DR documented diet for at least 3 months they told my dr office thats why they approved me so quick. Good Luck Jennifer

WOAH - I HAVE AETNA PPO AND HAVE BEEN FIGHTING THEM SINCE MARCH....NO ONE TOLD ME IT WAS EXCLUDED....