Can anyone answer this???
I've seen people get it covered with a variety of providers. I had Aetna at the time and had no problem getting it covered. However, there are also people with Aetan who have not been able to get it covered. It depends on your employer and what things they chose to cover in the plan. For example, I was with Anthem BCBS and we had a specific exclusion on any WLS. When my company was bought, the new company chose to cover WLS. I would imagine this drove the premiums up (either for the employer or the employee) in order to cover these surgeries. So, while I had an Anthem plan that didn't cover it, I know of plenty who have Anthem plans that do cover it. You'll really need to look at the policy and how it's worded.
It doesn't work that way, I'm afraid. Every plan is different. One Aetna plan is different from another Aetna plan and so on. It depends what your employer purchased, whether they bought a plan with a WLS exclusion, etc.
You need to call YOUR insurance company and get YOUR specific plan's wording. If it does not cover the DS, you may need to switch to a plan that does at open enrollment, get a different job, self-pay, etc.
BTW, I had my DS almost four years ago and Aetna approved mine.
Nicolle
You need to call YOUR insurance company and get YOUR specific plan's wording. If it does not cover the DS, you may need to switch to a plan that does at open enrollment, get a different job, self-pay, etc.
BTW, I had my DS almost four years ago and Aetna approved mine.
Nicolle
I had the kick-butt duodenal switch (DS)!
HW: 344 lbs CW: 150 lbs
Type 2 diabetes and sleep apnea GONE!
Ditto what Nicolle said.
However, we do know some companies that provide plans that cover WLS for part time workers, so that is an option. Starbuck's is one and I believe Home Depot is another. There may be more.
Best of luck to you!
However, we do know some companies that provide plans that cover WLS for part time workers, so that is an option. Starbuck's is one and I believe Home Depot is another. There may be more.
Best of luck to you!
Check out my profile: http://www.obesityhelp.com/member/goodkel/
Or click on my name
DS SW 265 CW 120 5'7"
Or click on my name
DS SW 265 CW 120 5'7"
Throwbacks to way things used to be. The way we need to make them now.
Best of luck to you!
Best of luck to you!
Check out my profile: http://www.obesityhelp.com/member/goodkel/
Or click on my name
DS SW 265 CW 120 5'7"
Or click on my name
DS SW 265 CW 120 5'7"