Aetna with ATT

[karebare714 14]

Does anyone have Aetna ins that works at ATT? My friend called her ins co to find out if she has to do a 6 month diet or anything and they said they would mail her a packet and didn't answer any of her ?'s. I was hoping someone here has it and can answer some of the ?'s without her having to wait weeks to get this packet. Is there a diet and what are the BMI requirements and are there any other requirements. Any info would be greatly appreciated.

Thanks

Karen

[adagray 1]

I'm not w/ATT, but the way I understand it, the requirements are the same for all Aetna policies (if weight loss surgery is not excluded from her policy - which she should check on to make sure). But, assuming its not excluded from her policy, here is a link that explains the requirements:

Obesity Surgery

Then, if it is not excluded, she should check how much they will cover. For me, they pay 80% so I have to pick up the other 20%. For other companies, they pay 100%. It also depends on the policy, if there is a max out of pocket cost or maximum that the insurance will pay. Those are all details that are specific to what the company negotiated, but I believe the rqmts (in the link above) are the same for all Aetna policies.

[karebare714 14]

Thank you. The link was very informational. Do the patients get the choice of the 3 month or the 6 month or does the policy stipulate which it has to be?

Karen

[adagray 1]

Thank you. The link was very informational. Do the patients get the choice of the 3 month or the 6 month or does the policy stipulate which it has to be?

Karen

This is one area which I'm not really sure of. It seems most people on here have had to do the 6 month diet for Aetna, but I have seen at least one or two posts from people on here who have done the 3 month diet for Aetna. I THINK it may just depend on what resources you have available to you. If your surgeon's office offers a multi-disciplinary approach, then maybe you only have to do 3 months. But, this is really just a guess on my part. When I went to the seminar w/the surgeon that my PCP recommended, I asked one of their patient liaisons and she had never heard of the 3 month diet. This particular surgeon has just started taking Aetna so they may not know all the ins and outs. Anyway, so I just signed up to start seeing their nutritionist in a week to start my 'diet' and I'm gonna bring the paperwork and ask her about it.