Question:
does anyone have aetna hmo and did they cover lapband surgery?

   — Monica G. (posted on July 18, 2007)

July 18, 2007
I have Aetna NAP. It took 4 days after my surgeon submitted my paperwork to get approval for my RNY (after about 4 months of hoop jumping). If my choice had been LAP-band, it would also have been covered.
   — shrinker

July 20, 2007
I have Aetna HMO (PA). After all of the testing, evaluations, letters and information that was submitted, I was denied. I appealed through all levels and was fortunate enough to have an external review option (3rd party independent reviewer). On July 6th 2007 I was approved for lap band surgery. After calling/writing/faxing/screaming/threatening Aetna daily for an authorization code, I only received that today. My surgery will finally be in August 2007. Quite a fight and I understand the restrictions are only going to get worse to be approved. Stay the course and be patient!! Best of Luck!
   — sanscarpaci