Question:
Aetna HMO Member Services said WLS is NOT covered! What now?

I was shocked at this since I have seen many people that have had Aetna HMO were approved. What should I do now? I don't want to give up before I even start. Should I discuss it with my PCP anyway & pray for approval later? Does anyone know if this sort of thing could be specific to my employer's plan?    — Stacy R. (posted on January 24, 2001)

January 25, 2001
I have Aetna and my policy has an exclusion for anything that deals with obesity.. but I called them on the phone and they said even though my policy had the exclusion to turn it in anyway and it would go before a review board. Well I did all my homework, I had 5 years of diet history, doctor reports, referals from my doctor and orthopedic surgeon recommding the surgery I had copies of my medical records showing that I had had doctors help with diets many many times. Well I was approved in 2 days.. so call your insurance and have them learn your name and don't give up.
   — [Anonymous]

June 7, 2001
AETNA has a site specifically covering Bariatric surgery, go to the Aetna website and serch for bariatric surgery, will take you right to it,their requirements, etc....
   — WENDY S.

June 7, 2001
http://www.aetnaushc.com/cpb/data/CPBA0157.html Here's the Aetna URL specifically the address that describes the coverage on this surgery- this should help! Best of luck!
   — AnnaMari R.

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