First consultation last Wednesday.

Spears · March 22, 2007

Hi my name is Liz I am at the beginning stages can someone tell me about

Aenta PPO insurance please.

Thank you and God Bless all

Liz of windy city

juliegeraci · March 23, 2007

Hi Liz, welcome to lapband talk forum. I don't know anything about Aetna PPO. Good luck.

katschai · March 23, 2007

Hi Liz - this might be a partial duplicate reply my lap top is nuts. I have Aetna QPOS point of service plan which is usually more restrictive than a PPO. I had no problems. Aetna approved me once all the paperwork was submitted, in 2 days! I had to submit all the required paperwork and if you go on the Aetna Navigator website and do a search for lapband, it will give you the link for the company info regarding policy and procedure. Primarily it was the 6 month MD supervised diet and they are very rigid about that. Good Luck!

faithmd · March 23, 2007

Hello and welcome! No one will know for SURE about what your policy covers but your insurer. You need to give them a call and ask. Someone else could also have Aetna PPO but may have different riders on their policy than you do. The safest and best thing to do is give Aetna a call first thing tomorrow. Whatever they tell you, have them mail you a copy. You might need it later.

I have read so many posts here and other places where people chimed in that they had the same insurance and it was covered, only to have the OP come back and say their policy had an exclusion for bariatric surgery, or for the band.

Monkey · March 23, 2007

Aetna PPO is exactly what is on my mind too! I had my psych eval today. My BMI is just at 40, but I have a lot of problems with my knees, so I'm hopping that will get approval. The surggeon's office was very upfront with me and advised that Atnea is one of the most difficult insurance companies to get approval from, but eveyone has promised to help me. I was assured by the all the staff that everyone that has been though the bariatric program has been approved.

My surgeon placed me in a program with diatician, trainer, etc. I have to "practice" the diet and foods/textures that I will be able to eat afterwards. That has really put everything in perspective.