IURN62

What a sweet reply. Thank you for your encouragement:smile:

Thats what im going to try to do. I think documentation is the key. I have history of sleep apnea and asthma. Im going for a sleep study next month then im going to send all my stuff in. The doctor you are using should be able to help you do all the submission stuff.

I have to contact Aetna with an exception letter. I qualify for the surgery and have sleep apnea and GERD. I was wondering if anyone would share a letter they have successfully used with Aetna or any company for that matter. Thanks for your help.

Heather, it appears to me that your husband might have been looking at the gastric bypass instead of the banding. I do not think you have the same issues with the band as in the bypass. The bypass you lose essential nutrients and Vitamins that are needed for hair and essentially every function. The band should not do that. Hope this helps

Denham is close and i thought about checking him out. I am now getting ready to fight the insurance company on coverage so getting all my ducks in a row. I so look forward to this journey and am so excited. Thank you for your responses.

I am in Evanston..........anyone with a good experience with any lapband specialist? Id like to stay close to home if i get approved.

Anyone with positive experience on the Northside of Chicago? I have no clue who to go to.

Well some good news from my company. The lapband isnt covered but i can file and appeal with Aetna due to my medical conditions. I do have sleep apnea and GERD. So fingers crossed and wish me luck. Thank you all for your input here, i will keep up the fight.

Cant get a straight answer from anyone. I will go to the seminar on Saturday and see what help they can provide. Thanks for your post.

I am in Chicago and im going to a seminar Saturday. I just talked to my HR dept and they dont have the exclusions, but she told me that if i have another underlying issue (i have sleep apnea) that it should be covered. I am going to wait until i speak to someone at the seminar before i call Aetna again. KY did you have your surgery or are you going tomorrow?

Wow maybe all isnt lost. I will take your advise and look go to my HR department. I will keep you posted and thank you so much for your help. :thumbup:

Thank you momma for your reply. Yeah it looks like they dont cover it and paying 30G out of my pocket is not an option. I guess the lesson is just because you have a certain insurance, you need to call and find out if your employer includes the banding in your plan. Im down but not yet out. I will get this weight off one way or another. Thanks Momma :thumbup:

I have Aetna POS II and i called this morning and they said they do not cover the surgery. Is this due to my employer? Im very let down and tired of feeling bad........do i give up? I qualify for the surgery because of my weight but am ready to give up.:wink2: