Aetna Insurance

(deactivated member)
on 7/18/07 1:07 pm - Ellsworth, ME
Does anyone have aetna insurance and if so, did it cover bypass surgery and was it difficult to be approved? I'm just changing insurances and want to know before I sign on the dotted line if surgery will likely be covered.
PamperedDarcy
on 7/18/07 2:55 pm - Milford, ME
I went through the 7 month program that covers just about everything they might need, but my surgeon sumbitted it last monday and I heard back this Monday that it's approved. Only took a week! I'm not a huge fan of Aetna so this really surprised me!
KathigME
on 7/18/07 7:45 pm, edited 7/18/07 7:48 pm - Gorham, ME
Aetna does cover the surgery. But it also depends on the individual policy. The Policyholder (your job) may have an exclusion to it.  Your best bet would be to call them. I was denied by them in 2003 for lack of documentation of a failed 6 Month diet program. So make sure you find out exactly what they require and make sure your doctor documents it every time you see him or her. Also find out what they require for the frequency of seeing your doctor, weekly, monthly etc. At the time I had to have documentation of 6 month failed diet and exercise program.
Kathi G.  I LOVE MY RNY!!   
cycobusdriver E.
on 7/18/07 8:23 pm - ME
I have anthem blue cross and blue shield..they have payed for mine all but co-pays..time will tell how much they pay of surgery.. Barb

        Before sugery 230 - Day of Surgery 221.6 - Current Weight 140

  
KathigME
on 7/18/07 8:30 pm, edited 7/18/07 8:31 pm - Gorham, ME
One more day, Barb!!  Are you getting nervous?  I wasn't nervous at all, just excited. A feeling I had as a kid waiting for Santa Claus. 
Kathi G.  I LOVE MY RNY!!   
cycobusdriver E.
on 7/18/07 8:40 pm - ME
Yah one more day this time tomorrow i will be at hospital..7:30 am is the operation time..Im excited not nervous just want it over so I can do my thing. keeping busy so my mind dont wonder.

        Before sugery 230 - Day of Surgery 221.6 - Current Weight 140

  
KathigME
on 7/18/07 8:53 pm - Gorham, ME
You will do Awesome!!  Thinking good thoughts for you!!
Kathi G.  I LOVE MY RNY!!   
Heybelle
on 7/19/07 9:03 am - Harmony, ME
I have Aetna and they were ok w/ my lap RNY.  I had to see nutrionist 3 times  and the program only called for 2 visits.  Also needed  5 years of documented weight loss attempts, and overall health condition or complications.  This is one time the more wrong with you the better. It took 2 days for approval once everything was submitted. I would question if they have any previous condition riders/exclusions or things like that, other than that you shuld be okay w/ them.
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