Aetna / SRC

Has anyone gone through Aetna / SRC $20,000.00 plan?  My regular insurance won't cover WLS so my husband signed up for the Aetna/SRC plan through his part-time employer.  I am pretty sure that they will cover the surgery (I want the sleeve but am not sure they will cover that one), but I am apprehensive about how much money I will need to have up front for the hospital.  The doctor's package says that the self-pay price for the hospital is $12,000.00 but I know that this won't be the amount if insurance is involved. 

Anyway, does anyone have any information or advice conserning Aetna / SRC?  This is Aetna's limited insurance policy.  Oh, and before someone asks about the primary insurance (mine), Aetna / SRC says that they are always considered primary.

Thanks.

Marilee M.

Every hospital and doctor is different about what the will require be paid up front. I would start by calling Aetna and ask them what the coverage is. Then call the physicians office ad ask them what will be required. The physicians insurance clerks are usually very versed in all types of plans and what the hospitals/doctor will require. They should be able to give you a fairly accurate estimate.
I got a home equity loan to pay for my lap band 5 years ago. I'm still paying it out slowly but surely. I was cash patient and had to fork over $16,000 the day of surgery! It was a bummer! I just looked at it like a car payment and didn't look back!
Good luck! I had my lap band removed due to slippage, now have regained almost all the weight I lost! I am going to try to see a nutritionist to evaluate what I'm eating and see if they can make recommendations for my diet. If this doesnt' work I'm considering the verticle sleeve gastrectomy also.

i have Aetna/SRc they cliam they want pay for the surgery.... i am still fighting with them over this its been a year later

Thanks for responding.  I've tried calling the insurance company, the hospital, the doctor's office, etc. and no one seems to be able to tell me.  The hospital says that it depends on how it is billed from the doctor; the doctor gave me the code to tell the hospital and the hospital told me that the code I gave them was for a package (self-pay).  I give up trying to get the information through the phone.

I have an appointment with the doctor on Friday and, hopefully, will be able to ascertain more about the costs at that time.  As a side note, Aetna does not cover the sleeve (yet) and with everything I've seen about the band, I am not too sure I want it.  Seems like too many people have problems and end up going in to have it removed and a different procedure performed.  I'd rather get the sleeve and be done with it. 

Aetna is supposed to look at their bariatric surgery policy again on February 11th.  I am praying that they will decide to include the sleeve at that time.  If not, I guess I'll have to decide if I want to go the RNY route.