Question:
Help! new job new insurance.......Aetna!

I am relocating to New Jersey and will have a new insurance (Aetna)I currently have CareFirst Blue Cross and am post-op 15 weeks with no problems with insurance. My question is how will the switch affect me? and is there anyone who has had plastic surgery with open access Aetna?    — Tarah S. (posted on July 22, 2003)


July 22, 2003
I am 3 weeks post op and we are changing to Aetna on August 1st.I called my surgeons office because I was worried that I would not be able to get my fills but they say that the way they bill for them they can get around the ins.(Aetna doesnt cover Lap Band)so I would check with the surgons office they probably have experience with Aetna.They have their guidelines for PS on the web site at aetna.com.I will want a tummy tuck and breast reduction and lift.They cover these procedures but you have to have your stuff together and have lots of documentation so I plan to start seeing my PCP now with complaints so I can have documentation. Hope this helps some.
   — Lisa F.

July 22, 2003
Here is the link to the complete Aetna Clinical Policy Bulletin (CPB #0157) - Obesity: Surgical Treatment http://www.aetna.com/cpb/data/CPBA0157.html Hope this helps. Tom
   — Tom Barton

July 23, 2003
Hi Tarah, You will need to submit a Transition of Care form to Aetna. The surgeon will need to fill out section 4 and you fill in the rest. Good luck!
   — duane B.




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