AETNA with bariatric exclusion

[Johnatwi 23]

Hey everybody, this is my first post here. I have recently been looking into getting the sleeve. I called my insurance company, AETNA, and they told me that I have an exclusion on my policy for bariatric surgery. I called one company here in the Dallas area who said that although there is an exclusion on my policy, that they asked a few more questions and it may still be able to be covered under insurance. Has anyone ever been able to get their surgery covered under insurance with an exclusion on their policy? Thanks!

[Iweeny 36]

I use to have Aetna ppo (individual) and they wouldn't cover it. But then I switched to Aetna *** and the covered the hole thing. When I had the PPO I sent Aetna a letter and made ph calls and they always told me NO.

Good luck

[lisa2job 130]

I had BC/BS and there was no way around the exclusion because my company excluded it.... so I had to pay best money I am spending !! happy to write that check every month. 90 lbs down and still going! good luck !!

[buplee 556]

Sorry to hear about the Aetna exclusion. I work for an insurance company which covered bariatric surgery, but still had to fight with Aetna for 18 months. I was denied twice and hired a healthcare advocate who reached out to sr mgmt and threatened to go to the media and sue. Got a reversal call in January and was finally sleeved on. 2/19. Good luck to you on your journey to getting sleeved.