Question:
Does anyone have any knowledge or experience with Aenta POS Choice II

Hello everyone I have AENTA POS II.. I was just wondering if anyone has any experience with this coverage. Are they easy to deal with or am I gonna have to jump though a lot of hoops.. I had Independence BC of Pennsylvania then my COMPANY Was sold and switched to UHC and they don't cover it al all. So we went on my husbands plan.. I was devastated becasue my previous insurance was gonna cover it @ 90% no deductible NOTHING.. Any Help would be greatly appreciated.. Thanks a Bunch Jennifer~    — Jennifer G. (posted on October 16, 2009)

October 16, 2009

   — dasie

October 16, 2009
I have Atenta open choiceII and it is through my husbands employer. Our plan covers baratric's up to a $25,000. lifetime. I was denied at first and then I had to do the six month diet. When I got my approval and everything was said and done I paid $3,300. for my surgery. This breaks down to be my $300 in copay's and $3,000. in deductibles, as this is my limit. Yours may be different but if you have any other questions about atena and what they payed for just send me a message and I will do my best. Lots of luck!
   — 67rosebud67

October 16, 2009
I have Aetna and the plan I have was so easy From May 23 was my first visit with my Surgeon(super doctor) to July 21 for my Gastric Bypass. Now 3 months later and 75 pounds lighter, and the only thing I had to do was my clearances and 2 year diet history. Oh yeah and pay my copays every time I go to the office. It was a breeze for me, and I have Choice Pos II.
   — cathymeyerny

October 16, 2009
HI...I also have Aetna POS..I have to say it was the easiest thing ever. the whole process took 3 months...I was covered 100% except for co-pays...and today I have lost 91lbs!!!!! It also helps that the Dr's office has a whole dept assigned to insurance...they told me exaactly what I needed to do and there really was never an issue. Good Luck
   — elimeno

October 18, 2009
Hi - I also have the Aetna POS Choice II, through my husband's work. It was an easy process, but I had to complete 6 months dr supervised weightloss (and the co-pays that went along with that), plus I paid $700 at my surgeon's office to have my evaluations all done there, which was very convenient for me. I also had to get a letter of recommendation for the surgery from my surgeon, and I also got one from my OBGYN because I've been with her practice for so long (weight history and had some fertility issues pre-op). My RNY, done in may, then cost me about $1500 as the remainder of my deductible. Call the number on your card, and ask if weightloss surgery is a covered benefit of your plan. If they say yes, listen to what they tell you and then follow it to a Tee. If they say it is an exclusion, that is often the case becaus eyou first have to prove medical necessity (6 months assisted weightloss, evaluations, etc). IT's not difficult if you do what your insurance wants - I find that many people get denied because they want to skip the 6 month physicial assisted weightloss - must be documented and 6 months in a row. Aetna's reasoning is that they see no reason to try that before having a very serious surgery that still required majot behavior modification. It's not hard, and the 6 months are up before you know it. Good luck! You can do it!
   — stellarsan