For veterans; VA can contract out
I have blue cross blue shield and aetna. Aetna is giving me crap but I am trying to get approval. BCBS won't cover unless you've been with them for 5 years. I went to my VA primary care doctor to get a letter of clearance and she started talking to me about how they also contract out for WLS (only the RNY though). I had no idea and was completely blindsided. I don't want the RNY but I did last year before I knew about the sleeve. You have to do the nutrition classes through them, see their psychiatrist, their pulminoligist, EGD through them, and also see a cardiologist. BMI must be 40 for 2 years or 35 with a co-morbidity. No smoking for 6 weeks.
Just another option just in case Aetna denies me again. Should I wait until 2013 to get the sleeve or go ahead and go through the whole proceder with the VA if I'm denied again? It wouldn't be a VA doctor but they contract with a Dr. in Dallas. I've been told I have to have HBP for 2 years but that's not what Aetna's policy states.
Just a thought....
Just another option just in case Aetna denies me again. Should I wait until 2013 to get the sleeve or go ahead and go through the whole proceder with the VA if I'm denied again? It wouldn't be a VA doctor but they contract with a Dr. in Dallas. I've been told I have to have HBP for 2 years but that's not what Aetna's policy states.
Just a thought....
We are talking the Veteran's Administration right (VA)??? If we are, I am a vet and I got my VSG at a VA Hospital in Pittsburgh PA...At the least the Pittsburgh offered VSG, banding, and RNY. You may want to check into that a little further if you want to have a VA do your surgery. No matter what, dont settle for a surgery you dont want.
PSW 268 and Height is 5'10, SW was 241.6, GW is 170, CW is 160

