aetna

earthseeker
on 12/5/13 10:46 pm

Hi everyone question my plan says I' am covered for weight loss surgey. Under the plan Aetna has a lifetime cap of 10,000 is there a way around this? what are my options? Thanks hoping to be a future weightloss grad.I didnt the 3 month visit everything aetna ask but there a cap my wife job place a cap on the procedure.

(deactivated member)
on 12/6/13 3:16 am
On December 6, 2013 at 6:46 AM Pacific Time, earthseeker wrote:

Hi everyone question my plan says I' am covered for weight loss surgey. Under the plan Aetna has a lifetime cap of 10,000 is there a way around this? what are my options? Thanks hoping to be a future weightloss grad.I didnt the 3 month visit everything aetna ask but there a cap my wife job place a cap on the procedure.

 

No, there isn't.  That is the cap, period.

Does it say who you have to go to?  Some BC/BS plans allow you to go to Mexico where surgery in full would be cheaper than the $10K limit you have.  MOST self pays go to MX, about 1% have insurance that will pay for them to go to MX.

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