Question:
Which is more WLS-friendly - Aetna or BCBS PPO?

I now have Aetna, but can elect BCBS through open enrollment right now. From what I remember, it seems more people have problems with BCBS. Is that correct? What about surgeries afterwards (i.e., tummy tuck, breast lift, etc.)?    — Kathy B. (posted on November 19, 2001)

November 19, 2001
I work in elig for Aetna US Heathcare, and they have policies in place that unless your employer specifically excludes it, both gastric bypass(open only) and abdominoplasty are both covered expenses as long as you meet the criteria. Call your member services dept for more info.
   — [Anonymous]

November 19, 2001
I have Aetna USHC and was approved for a LAP RNY in 24 hours (8-21-01) My aunt has BCBS and was approved also very quickly (11-12-01). I'm not sure that what the previous poster said is accurate regarding open only because I had the Lap with no problems with approval.
   — Jeannet

November 19, 2001
I also have Aetna US Healthcare and they apporved the Lap RNY within 24 hours. I originally tried for the BPD/DS but they denied that twice, saying that it as exprerimental. As soon as we went for the Lap RNY I was approved! It turns out that I am very glad that I had the RNY anyway. I am also hoping to have abdominoplasty/breast lift in the future and am glad to hear from the previous poster that they will cover it if I qualify, that's good news! Hope this helps, good luck!
   — Vicki K.

November 19, 2001
I have BCBS and was approved in about 2 weeks. However, I am not sure it is the company as much as it is the policy the employer has contracted with the company that matters. I would check with each individual company to see what they offer for the policy they contracted with your employer.
   — M B.

November 21, 2001
I have BC BS PPO and they approved me almost immediately, which was great. I have a 36 BMI w/ co-mo's. They have been a dream for me. Too bad my doc isn't a PPO member!
   — Michelle P.