Aetna Insurance Cover Bariatric Surgery

Insurance is different for different people it also depends on the company youre insured through. I picked the 3 months with my primary doctor.

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Most of the Aetna groups HMO and POS exclude coverage for the surgery until approved by Aetna.

Aetna insurance cover bariatric surgery. My spouse our family is insured through his company with Aetna. Aetna covers 5 weight loss procedures including the Gastric Sleeve Gastric Bypass Lap-Band and Duodenal Switch assuming your policy includes bariatric surgery. This page explains the coverage requirements plan types and covered procedures as well as how to appeal a denial.

There are different Aetna insurance plans QPOS is one of them. Complete our free insurance verification check to find out what kind of coverage Aetna offers. Each Aetna California insurance policy can vary on what weight management or bariatric and gastric surgery expenses are covered or excluded so it may be easier to have our Gastric Sleeve Insurance Coordinators verify your Aetna Gastric Sleeve Surgery coverage for you.

Mounting evidence shows that surgery for morbid obesity can be more cost-effective than treating the conditions resulting from obesity. I also found a forum with others interested in aetnas approach to surgery coverage and many say that with aetna pos they will cover 90 of surgery only after a 3-6 month disciplinary approach has been completed-- meaning. - Free Quote - Fast Secure - 5 Star Service - Top Providers.

If you have coverage check if you meet Aetnas clinical criteria for bariatric surgery by reviewing the clinical policy bulletin for Obesity Surgery CPB 157. Bariatric surgery so long as its an idiopathic intracranial hypertension treatment Mini gastric bypass. Medicare covers weight loss surgery.

The following procedures are not covered by Aetna. The following surgeries are not covered by Aetna. Enjoy Our Excellent Customer Service Now.

Get the Best Quote and Save 30 Today. Ad Compare Top 50 Expat Health Insurance In Laos. Aetna When it comes to Health Insurance Bariatric Surgery Cover USA 2021 individual health insurance Aetna doesnt offer a sole health plan covering bariatric surgery.

An IndividualFamily or Small Group Policy through an employer with under 50 employees covers weight loss surgery if you live in one of the 23 states that mandate it. Call Aetna and have them direct you to the web page Bulletin that states the requirements versus them dictating them to you. Insurance coverage varies depending on your policy.

Bariatric surgery as a treatment for idiopathic intracranial hypertension Gastroplasty more commonly known as stomach stapling see below for clarification from vertical band gastroplasty Intragastric balloon Laparoscopic gastric plication. They will ask you to diet for 3-6 months before considering you a candidate for bariatric surgery coverage. Get the Best Quote and Save 30 Today.

In some Aetna policies surgical treatment of obesity is not covered at all. Aetna Covers Four Kinds Of Weight Loss Surgeries. It does not pay for the cost of the pre-surgical nutrition therapy.

RYGB sleeve gastrectomy or laparoscopic adjustable silicone gastric banding LASGB are all considered medically necessary by Aetna when the listed selection criteria is met. Obesity-causing depression is not a reason for denial for obesity surgery. Also understand the costs you are responsible for paying based on your benefit and learn if your benefit coverage is.

Our office has bariatric coordinators who will assist you in all steps of getting through the weight lossSome other insurance companies that pay for bariatric surgery include aetna cigna kaiser permanente presbyterian healthcare services priority health etcStates selected among health plan coverage packages that existed prior to the affordable care act to serve as benchmark plans for their. Aetna considers repeat bariatric surgery medically necessary for members whose initial bariatric surgery was medically necessary ie who met medical necessity criteria for their initial bariatric surgery and who meet either of the following medical necessity criteria. One for 6 months and one for 3 months.

- Free Quote - Fast Secure - 5 Star Service - Top Providers. Aetna may cover bariatric surgery as it is sometimes considered to be medically necessary. It is best to check with your insurance carrier directly to get detailed information as to what is required to qualify for bariatric surgery.

The following page is a general guideline for insurance requirements for weight loss surgery. Most Aetna HMO and QPOS healthcare plans do not cover surgery procedures or bariatric surgery unless approved by Aetna. Ad Compare Top 50 Expat Health Insurance In Laos.

A Large Group Policy through an employer with 50 employees covers bariatric surgery if your employer has chosen to include it in your plan. Or to help you adjust your diet to lose weight. Aetna considers surgery to correct complications from bariatric surgery medically necessary such as obstruction stricture erosion or band slippage.

However even with your doctors recommendation your health insurance might not pay for the surgery. The average bariatric surgery costs 17000 to 26000 according to the ASMBS. 214 324-6127 214 324-6127.

Aetna began covering the procedure in April 2010 and United Healthcare began in October 2009. Enjoy Our Excellent Customer Service Now. There you will probably see two options.

I called the Aetna number on my insurance card on 82010 to ask if I was covered for RNY. Whether you have insurance that covers bariatric surgery depends on what type of policy you have. Aetna considers repeat bariatric surgery medically necessary for members whose initial bariatric surgery was medically necessary ie who met medical necessity criteria for their initial bariatric surgery and who meet any of the following medical.

Health insurance or health benefits plan covers bariatric surgery. Other bariatric procedures covered by these and other insurers include Roux-en-Y gastric bypass laparoscopic adjustable gastric banding and biliopancreatic diversion with duodenal switch. Aetnas answer is No Their primary form of affordable health care coverage is their Essure Bariatric policy which pays for the cost of the surgical tretment only.

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