Aetna PPO

Hi Everyone  I am trying to find out what my insurance requirements are and having a hard time.  I recently got Aetna PPO and was wondering if anyone could let me know their experiences with them.  Thanks so much for your help. Barb

Hi, I have aetna open access, and my surgeons office is doing all the submitting and red tape stuff for approval for me....(I amd STILL DYING while waiting for approval)....but I even askedd her today, if I should maybe call them myself, and ask, or nag, and she said I shouldnt, that we should just wait. Cant you doc submit all the stuff....?

Check out the clinical policy bulletin regarding obesity surgery on  Aetna's website  memorize that sucker! My Aetna plan is a little different from the norm - I have a "self funded plan" and my employer is responsible for answering my appeal.  I've heard great things about Aetna and you'll probably have an easy time of it. My problems aren't with Aetna, they're with my employer. Aetna has been wonderful! Good luck

I called Aetna directly to see if it was covered and then my surgeon knew all the requirements. I would suggest calling them and asking them. I have never had a problem when I called with a question. My surgeon also said that they are the second best at approvals.

I am not "feeling the love" for Aetna as they are putting me through the ringer.  My appeal  after my denial was sent in last Friday.  If you can work with your surgeon's office staff (they really know the insurance stuff), memorize that medical bullentin  (and follow it exactly) and practice patience you will probably get approved unless your policy specifically excluded weight loss surgery.  My experience with Aetna is that they seem to try to find a reason to deny anything (not just weight loss surgery)  and then you have to fight with them about it. Good Luck, MileHigh