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  1. #1
    Gastric Sleeve Member
    I have not had a gastric sleeve.
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    Apr 2017
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    Smile Aetna Insurance Question

    Im just trying to get some basic info from anyone who has used Aetna as their insurance. Can you tell me how your experience was with them? Was it smooth or difficult? Basically your story with them, any info would be greatly appreciated!!

    I have Choice POS II (what ever that means lol) so any extra about my type would be so great!! Thanks yall!!

  2. Gastric Sleeve Surgery With Weight Loss Agents
  3. #2
    sraebaer
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    Default Re: Aetna Insurance Question

    Just because someone else has Aetna doesn't mean you'll have the same coverage. Your company contracts with the insurance company as to what they want included. I have Blue Cross/Blue Shield with a strict no bariatric policy, because my school district chose that. But for many people Blue Cross/Blue Shield covers their surgery.

    Hope your insurance covers it!

  4. #3
    Gastric Sleeve Member Linda51's Avatar
    I have had a gastric sleeve.
    Surgery date
    07/12/2017
    Surgeon
    Dr. Ma
    Join Date
    Feb 2017
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    Chowchilla, CA
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    Default Re: Aetna Insurance Question

    I had Aetna before I was old enough for Medicare. The Aetna coverage that my company provides does not have coverage for bariatric surgery. I sure hope your policy covers.
    Linda 51


  5. #4
    Gastric Sleeve Member
    I have not had a gastric sleeve.
    Join Date
    Apr 2017
    Last Activity
    06-15-2021 09:57 PM
    Location
    TEXAS
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    Default Re: Aetna Insurance Question

    My insurance covers the surgery, Ive already called to verify. My questions were more for how someones experience was with Aetna.

  6. #5
    Gastric Sleeve Member Tommy1969's Avatar
    I have had a gastric sleeve.
    Name
    Tom
    Surgery date
    02/14/2017
    Surgeon
    Dr. Tieu
    Join Date
    Feb 2017
    Last Activity
    06-07-2019 06:54 PM
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    Melbourne, Florida
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    Default Re: Aetna Insurance Question

    I have Aetna and all went smoothly for me. They required a 4 month supervised weight loss before they approved the surgery once submitted they approved it in less than a week, you can always call them to put a little pressure on them if they are not responding. My biggest buggaboo was getting my surgeon's office and my primary doc's office on the same page regarding pre-op clearance, etc..

    My out of pocket was still about $5k but they also seemed to have handled all of that accounting well as well.

    Good luck to you!



    Original Weight - 479
    Day of Surgery - 459
    Month 1 - 438
    Month 2 - 418
    Month 3 - 409
    Month 6 - 389

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  8. Gastric Sleeve Surgery With Weight Loss Agents
  9. #6
    Gastric Sleeve Member
    I have not had a gastric sleeve.
    Join Date
    Apr 2017
    Last Activity
    06-15-2021 09:57 PM
    Location
    TEXAS
    Posts
    13
    Said "Thanks" 22 Times
    Was Thanked 1 Time in 1 Post
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    Default Re: Aetna Insurance Question

    Thanks Tommy1969 for you help!

  10. #7
    Gastric Sleeve Member Christie13's Avatar
    I have had a gastric sleeve.
    Name
    Christie
    Surgery date
    11/03/2016
    Surgeon
    Dr. Wright
    Join Date
    Nov 2016
    Last Activity
    09-12-2019 04:13 PM
    Posts
    5,169
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    Default Re: Aetna Insurance Question

    Sent you a PM but also my plan was POS II as well.



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