NOOOO Not what I wanna hear from Aetna....

(deactivated member)
on 12/8/08 12:59 am - Mesquite, TX

I have a consult on 1/6 thru Aetna's Open Access Plan as that is what my company that I work for is going to be using starting Jan. 1st. I am just about to call it quits and just give up! I emailed the BenefitsVIP Team Lead only for her to respond to me and say these exact words: "Hi Lora,
I've confirmed with Aetna that bariatric/weightloss surgery is a benefit exclusion and therefore is not covered. "

NOOOOO!!! That is not what I need to hear! I sent her a reply asking her if it was just the plan that my employer is picking or what because I have known several to have Aetna and be covered.

I am soooo discouraged because we have Cigna right now and I was sooo excited about having them because if medically necessary they would cover the WLS, then I come to work and get told that as of Jan. we are switching to Aetna. There was no reason for me to go to the consult under Cigna if insurance was changing. Don't know that I should even bother with going to my consult on 1/6. May be a waiste of time. Advise please??

Star Jones
on 12/8/08 1:06 am - National Harbor, MD

DS on 11/06/08

If you're company self funds thier insurance I believe they can exclude whatever they want. In some states though you can fight it. I would pose the question on the insurance board, there are many over there that have answers. There are many that have been approved with Aetna, including me, but out of pocket expenses and exclusions all depend on your company.

~Shani~
I've been pudgy, chubby, thick, and now fat........Imma give thin a go round!!!

SW-262, size 18W, 5'6"
CW-168 1/15/2010
GW-162
94 Lbs down...6 more to go...changed goal to see Onderland for a hot second!

(deactivated member)
on 12/8/08 1:29 am - Mesquite, TX

Thanks for ur reply. Which plan did u have through Cigna?

Star Jones
on 12/8/08 1:39 am - National Harbor, MD

DS on 11/06/08

No prob. I have Aetna MCN.

~Shani~
I've been pudgy, chubby, thick, and now fat........Imma give thin a go round!!!

SW-262, size 18W, 5'6"
CW-168 1/15/2010
GW-162
94 Lbs down...6 more to go...changed goal to see Onderland for a hot second!

GorgeousIsa
on 12/8/08 1:30 am - Philly-delphia, PA

RNY on 12/15/08

OMG...Shani you look absolutely amazing.

HIGH-294CURRENT-151 GOAL-150LBS GONE-143LBS 2 GO-1 (Last weigh in 7/14) Platics Done: Breast Reduction (5/14) Extended Tummy Tuck w/ Anchor & Brachioplasty (5/29)

Star Jones
on 12/8/08 1:39 am - National Harbor, MD

DS on 11/06/08

Thanks Isa! This is my throwback avatar lol. I got a message from a pre-op DS girl asking if I was drinking already LMAO.....so I figured I'd take the other one down! This was from my wedding day in January this year.

~Shani~
I've been pudgy, chubby, thick, and now fat........Imma give thin a go round!!!

SW-262, size 18W, 5'6"
CW-168 1/15/2010
GW-162
94 Lbs down...6 more to go...changed goal to see Onderland for a hot second!

GorgeousIsa
on 12/8/08 1:41 am - Philly-delphia, PA

RNY on 12/15/08

lol...Well either way you look great.

HIGH-294CURRENT-151 GOAL-150LBS GONE-143LBS 2 GO-1 (Last weigh in 7/14) Platics Done: Breast Reduction (5/14) Extended Tummy Tuck w/ Anchor & Brachioplasty (5/29)

Tiffany G.
on 12/8/08 1:53 am

DS on 06/26/08

Umm, can we get some updated pics please? I mean, it's been a month.

~*Tiffany*~

my DS

Star Jones
on 12/8/08 1:56 am - National Harbor, MD

DS on 11/06/08

I KNOW YOU AINT TALKIN!!!!!!!!!!!!!!! Can you take one of me on Sat??? My camera is trippin.

~Shani~
I've been pudgy, chubby, thick, and now fat........Imma give thin a go round!!!

SW-262, size 18W, 5'6"
CW-168 1/15/2010
GW-162
94 Lbs down...6 more to go...changed goal to see Onderland for a hot second!

Tiffany G.
on 12/8/08 2:11 am

DS on 06/26/08

LOL why you gotta bring up old ****

Yes, I will bring my camera on Sat.

~*Tiffany*~

my DS

NOOOO Not what I wanna hear from Aetna....

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NOOOO Not what I wanna hear from Aetna....