exclusions!
Hi I am more of a lurker and have been doing some research and this is what i found under the EXCLUSIONS of my Aetna insurance...... please tell me if you know any way around this this comes from my policy ver-batem
Weight control services including surgical procedures, medical treatments, weight control/loss
programs, dietary regimens and supplements, appetite suppressants and other medications; food or
food supplements, exercise programs, exercise or other equipment; and other services and supplies
that are primarily intended to control weight or treat obesity, including Morbid Obesity, or for the
purpose of weight reduction
, regardless of the existence of comorbid conditions. That exclusion pretty much covers any situation surrounding weight loss treatments, be it surgical or non-surgical. Florida does not have any insurance laws requiring that the treatment of obesity be covered under your medical plan and the employer sponsored health plan has opted to exclude any services. Unfortunately, short of looking for an employer that includes the coverage in their health benefits, you are looking at self pay.
Aetna isnt excluding the coverage, your group health plan just does not include it in your benefits package. Talk to your employer about including it in next years benefits package.
Robin
Aetna isnt excluding the coverage, your group health plan just does not include it in your benefits package. Talk to your employer about including it in next years benefits package.
Robin
The more I read that exclusion, the more irritated I get.
It denies people lifesaving care. Period.
My former employer had exclusions denying surgery, and since IL is a state without laws pertaining to obesity treatment, I had to wait until I found an employer/plan that did not exclude it.
I have heard that attornies specializing in WLS appeals may be of service, but this information is not first-hand.
Good luck to you...
S
It denies people lifesaving care. Period.
My former employer had exclusions denying surgery, and since IL is a state without laws pertaining to obesity treatment, I had to wait until I found an employer/plan that did not exclude it.
I have heard that attornies specializing in WLS appeals may be of service, but this information is not first-hand.
Good luck to you...
S
You see things; and you say 'Why?'
But I dream things that never were; and I say 'Why not?'
- George Bernard Shaw