HELP!!! WLS not included in the plan package.
OK, here's the deal... Long story short, I spoke with my insurance carrier (Aetna HMO) a year ago and asked if they covered Bariatric surgery. They said "Yes", as long as the prerequisites were satisfied. So, I jumped thru all the hoops they put up for me and 6 months later I'm ready to go. My surgeon submits the paperwork, and I am denied because "The plan package my company purchased does not include WLS." I speak with my plan administator and I'm told that is correct, the plan they purchased does not include WLS and they can not add it until the next open enrollment, which is a year from now. At whisch point I will have to repeat everything.
Is there no recourse for this? Has Aetna, or any other insurance company, ever covered WLS without it being part of the "plan package"?