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I have AETNA as well and for the gastric bypass I have to do a 3 month weight loss program. And I still have a $1500 out of pocket fee
any luck? try calling your insurance and asking what their requirements are 
hello all, this is my first post. i just paid my first premium for a NJ plan i bought off the exchange. I do have coverage through my employer but bariatric surgery is excluded. has anybody else bought a plan off the exchange and had surgery? i'm just waiting for my coverage to go into effect 2/1/15 to schedule my consult with a surgeon.
I'm currently searching for the best insurance that will cover VSG. The one with the least hoops to jump through or won't cost an arm or a leg with out of pocket costs just to get the surgery. I would also like to know which hospital or doctor around the lehigh valley, Pennsylvania would except that insurance?
Is there anyway you can help me with the appeal letter also. I never thought I would have so much trouble with Aetna. Thanks!
I didn't get an approval letter for my vsg either, but the surgeon did get the code. I had surgery with no issue. Yes still have surgery!!!
I have the same ins company and when I called them they told me it's not covered under my plan now I don't know what to do
Does anyone have anthem blue Cross ppo insurance? If so what does the insurance require before wls?
They covered my revision so just put it in to see if they will.
For TFL, Medicare will be your primary insurance. If it is not a covered benefit through medicare, you still need to submit for prior authorization through medicare and get the rejection to send to the contractor for TRICARE for Life when the doctor requests the prior authorization on your procedure. Whether or not TRICARE covers a revision, check tricare.mil and look under "see what's covered" it doesn't list all the exclusions but it is a starting point for you.
Hockeymom87 · 0 replies · 727 views
