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Has anyone been able to get approval for surgery through Aetna International for gastric bypass ?
Hi,
Can anyone help me please? I wanted to undergo lap band surgery, I weight 191 lbs and have a severe sleep apnea but when I sign up for online request more information about lap band in a one hospital in Wisconsin..I received a call a woman from that hospital explaining things to me and told me that I'm not qualified cause my insurance only covered a bmi above 40...I don't really know what to do, I'm very frustrated can someone please help me? It sound to me that she don't coordinate much more to my insurance please help?
Thanks,
fhel
My employer would not add the ridder to our group plan ($1.04 per month cost to each employee on the plan)
i moved to a private Presbyterian plan on January 1. On Friday January 10 I sent insurance card to barriatric office the following Monday I had my approval before noon.
a rider is a type of add on policy to your main policy. Most individual policies don't cover Wls because the person would might just. Cancel the policy after the insurance paid for the surgery and they wouldn't get their money up from in premiums.
The very few policies I have heard of that might cover i,the monthly payments are very expensive.
gl
I don't know what a rider is. I will be buying individual insurance. I'm not working.
Thank you so much for your response, I guess I won't sit around and weight for the response lol. When I called them they said there were some adjustments made this year to the plan and I needed to send in the appeal. We'll see what happens but I won't bank on it.
it is not just about the insurance company. All insurance companies cover WLS...IF the employer buys the rider that covers it's when looking to change policies,you need to make sure whether. Your employer has bought the rider first of all,and then find out. What the requirements will be.
GL
sorry to say,if WLS is EXCL uDED in your plan,that means your employer,( the insurance company) did not buy the rider that covers it for their employees. If they didn't buy it for you,then that means the premium you pay for. Your insurance isn't covering. WLS.
No amount of appeals/letters is going to change the fact that the rider is not being paid for. If someone isn't paying for the rider,the insurance company is. Not going to cover it.
sorry and good luck
about your. Only option will be self pay
Hi,
I have worked for UHC for over 5 years now and am trying to find out more about appealing the WLS. In my plan it is not covered. They said I could appeal it. My doctor wrote a letter of appeal last week and I'm praying to get some good news. Has anyone here every appealed the WLS and actually gotten it covered? If so please tell me about it.
I'm considering switching insurance because my current insurance might not cover my insurance. What insurance do you have that doesn't require the six month weight management before surgery. I would especially like to hear from people under 40 BMI with no comorbidities.
Hockeymom87 · 0 replies · 723 views
